Healthcare Provider Details

I. General information

NPI: 1649307836
Provider Name (Legal Business Name): BRIAN P MIDGETTE DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3326 TAYLOR ROAD
CHESAPEAKE VA
23321-2518
US

IV. Provider business mailing address

PO BOX 604468
CHARLOTTE NC
28260-4468
US

V. Phone/Fax

Practice location:
  • Phone: 757-483-4700
  • Fax: 757-483-2359
Mailing address:
  • Phone: 757-483-4700
  • Fax: 757-483-2359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: KIM DAVIS
Title or Position: RCM DIRECTOR
Credential:
Phone: 703-568-5773