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General NPI Number Information
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NPI Number | 1265376412
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Entity Type | Organization
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Legal Business Name | ICON DENTAL BRANDS PLLC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 155 KINGSLEY LN STE 250
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City | NORFOLK
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State | VA
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Zip | 23505-4629
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Country | US
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Telephone | 757-224-3004
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Fax |
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Provider Business Mailing Address
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Address Line | 125 INDEPENDENCE BLVD STE 300
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6705
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. YUGAL BEHL
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Credential |
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Telephone | 757-374-2785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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