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NPI Code Detail

MEDICARE: DR. GAIL VERNA PLAUKA D.M.D.

MEDICARE:  DR. GAIL VERNA PLAUKA  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry0401-00006218VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1094767OTHERVABLUE CROSS BLUE SHIELD
20401-00006218OTHERVASTATE LICENSE
346767OTHERVAUNITED CONCORDIA PROVIDER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164424263
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAIL VERNA PLAUKA D.M.D.
Provider Business Mailing Address
First Line : 350 JOHNSTOWN RD
Second Line : STE C
City : CHESAPEAKE
State : VA
Zip : 23322-5365
Country : US
Telephone Number : 757-482-4777
Fax Number : 757-546-9820
Provider Business Practice Location Address
First Line : 350 JOHNSTOWN RD
Second Line : STE C
City : CHESAPEAKE
State : VA
Zip : 23322-5365
Country : US
Telephone Number : 757-482-4777
Fax Number : 757-546-9820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1437216959 — GAIL V. PLAUKA, D.M.D., P.C.
Practice Location Address:
350 JOHNSTOWN RD , SUITE C
CHESAPEAKE, VA
23322-5365
Practice Phone: 757-482-4777
Practice Fax:
1043421258 — DR. BRAD WILLIAM CHRISTENSON D.D.S.
Practice Location Address:
350 JOHNSTOWN RD , SUITE B
CHESAPEAKE, VA
23322-5365
Practice Phone: 757-482-7660
Practice Fax:
1255772497 — DR. PAMELA ANNETTE WINTER D.D.S.
Practice Location Address:
350 JOHNSTOWN RD STE C
CHESAPEAKE, VA
23322-5365
Practice Phone: 757-482-4777
Practice Fax:
1629481882 — DANIEL LUKE WINTER D.D.S.
Practice Location Address:
350 JOHNSTOWN RD , SUITE C
CHESAPEAKE, VA
23322-5365
Practice Phone: 757-482-4777
Practice Fax: 757-546-9820
1437513629 — JENNIFER OAKLEY
Practice Location Address:
350 JOHNSTOWN RD STE B
CHESAPEAKE, VA
23322-5365
Practice Phone: 757-482-7660
Practice Fax:
1548782873 — TIDAL SMILES PEDIATRIC DENTISTRY PLLC
Practice Location Address:
350 JOHNSTOWN RD STE C
CHESAPEAKE, VA
23322-5365
Practice Phone: 757-482-4777
Practice Fax:

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