Healthcare Provider Details

I. General information

NPI: 1316060122
Provider Name (Legal Business Name): JAMES Y CHAU DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 SIR WILLIAM OSLER DR
VIRGINIA BEACH VA
23454-3003
US

IV. Provider business mailing address

1724 SIR WILLIAM OSLER DR
VIRGINIA BEACH VA
23454-3003
US

V. Phone/Fax

Practice location:
  • Phone: 757-481-1894
  • Fax: 757-481-1238
Mailing address:
  • Phone: 757-481-1894
  • Fax: 757-481-1238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number0401008422
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: