Healthcare Provider Details

I. General information

NPI: 1942643085
Provider Name (Legal Business Name): BEHL ORTHODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 04/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 HANBURY RD E 300
CHESAPEAKE VA
23322-6621
US

IV. Provider business mailing address

446 EFFINGHAM ST
PORTSMOUTH VA
23704-3464
US

V. Phone/Fax

Practice location:
  • Phone: 757-932-0097
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. YUGAL BEHL
Title or Position: FOUNDER
Credential: DDS DSC CAGS
Phone: 757-932-0097