DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BLUE HERON DENTAL, PLLC

MEDICARE: BLUE HERON DENTAL, PLLC
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1235095191
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE HERON DENTAL, PLLC
Provider Business Mailing Address
First Line : 1767 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-3835
Country : US
Telephone Number : 757-426-6151
Fax Number :
Provider Business Practice Location Address
First Line : 1767 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-3835
Country : US
Telephone Number : 757-426-6151
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. EMILY DIMITROFF
Credential : DDS
Telephone Number : 304-588-1895
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

Similar Medicare Providers

1376647859 — J. R. BEK, D.D.S., P.C.
Practice Location Address:
1767 PRINCESS ANNE RD
VIRGINIA BEACH, VA
23456-3835
Practice Phone: 757-426-6151
Practice Fax: 757-426-6235
1366704397 — DR. EMILY M DIMITROFF DDS
Practice Location Address:
1767 PRINCESS ANNE RD
VIRGINIA BEACH, VA
23456-3835
Practice Phone: 757-426-6151
Practice Fax:
1104162387 — JEFFREY R. BEK, DDS
Practice Location Address:
1767 PRINCESS ANNE RD
VIRGINIA BEACH, VA
23456-3835
Practice Phone: 757-426-6151
Practice Fax: 757-426-6235
1407281199 — DR. JEFFREY RANDALL BEK D.D.S.
Practice Location Address:
1767 PRINCESS ANNE RD
VIRGINIA BEACH, VA
23456-3835
Practice Phone: 757-426-6151
Practice Fax: 757-426-6235
1790429645 — DR. KATELYN A SINCLAIR DMD
Practice Location Address:
1767 PRINCESS ANNE RD
VIRGINIA BEACH, VA
23456-3835
Practice Phone: 757-426-6151
Practice Fax: 757-426-6235
1396826426 — DR. DENISE MICHELLE JONES D.C.
Practice Location Address:
3835 E 7TH ST
LONG BEACH, CA
90804-5303
Practice Phone: 562-434-5656
Practice Fax: 562-930-1308

Directions to “BLUE HERON DENTAL, PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.