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NPI 1568561900

NPI 1568561900 : PARTNERS IN DENTAL HEALTH LLC : VIRGINIA BEACH, VA

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General NPI Number Information
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    NPI Number           |    1568561900
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARTNERS IN DENTAL HEALTH LLC 
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Dates
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    Enumeration Date     |    09/22/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    317 EDWIN DRIVE 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23462
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    Country              |    US
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    Telephone            |    757-499-2100
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    Fax                  |    757-499-2999
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Provider Business Mailing Address
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    Address Line         |    317 EDWIN DRIVE 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23462
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    Country              |    US
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    Telephone            |    757-499-2100
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    Fax                  |    757-499-2999
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. DEAN E KENT 
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    Credential           |    DDS
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    Telephone            |    757-499-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    0401005418
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    0401006401
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    1223P0700X
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    Taxonomy Name        |    Prosthodontics
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    License Number       |    0401008797
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    License Number State |    VA
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