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NPI Code Detail

MEDICARE: DR. PATRICK BYRNE HOLMES D.D.S., M.S.D.

MEDICARE:  DR. PATRICK BYRNE HOLMES  D.D.S., M.S.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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry0401412566VA

General Provider Information

NPI Number : 1275969198
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK BYRNE HOLMES D.D.S., M.S.D.
Provider Business Mailing Address
First Line : 996 FIRST COLONIAL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3175
Country : US
Telephone Number : 757-495-3110
Fax Number : 757-495-7722
Provider Business Practice Location Address
First Line : 996 FIRST COLONIAL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3175
Country : US
Telephone Number : 757-495-3110
Fax Number : 757-495-7722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2013
Last Update Date : 09/24/2013

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Directions to “ DR. PATRICK BYRNE HOLMES D.D.S., M.S.D.” Practice Location

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