Healthcare Provider Details

I. General information

NPI: 1851081467
Provider Name (Legal Business Name): VALERIA DEL CASTILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1933 EDWIN DR
CHESAPEAKE VA
23322-6531
US

IV. Provider business mailing address

825 BATTLEFIELD BLVD S
CHESAPEAKE VA
23322-6607
US

V. Phone/Fax

Practice location:
  • Phone: 757-231-5173
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401419800
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: