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General NPI Number Information
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NPI Number | 1477315893
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Entity Type | Organization
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Legal Business Name | DENBIGH DENTAL CARE
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 710 DENBIGH BLVD STE 7D
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4427
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Country | US
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Telephone | 757-239-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 4936 LIMESTONE AVE
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4430
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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 | JIM ERVIL
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Credential |
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Telephone | 804-615-9682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number |
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License Number State |
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