MEDICARE: DENTAL PROFESSIONALS OF VIRGINIA, P.C

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1437946308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL PROFESSIONALS OF VIRGINIA, P.C

Provider Business Mailing Address
First Line	:	1635 LASKIN RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-6113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1635 LASKIN RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-6113
Country	:	US
Telephone Number	:	757-340-8805
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	HILLARY THULL
Credential	:
Telephone Number	:	217-540-8946

Provider Enumeration Date	:	04/23/2025
Last Update Date	:	04/23/2025

Similar Medicare Providers

1275469926 — ARGIE LIMBERIS
Practice Location Address:

1635 LASKIN RD
VIRGINIA BEACH, VA
23451-6113

Practice Phone: 757-208-4379
Practice Fax:

1174605679 — DR. TIFFANY FOSTER KESSLER DDS
Practice Location Address:

1635 LASKIN RD
VIRGINIA BEACH, VA
23451-6113

Practice Phone: 757-340-8805
Practice Fax: 757-340-8803

1174209563 — DR. EVA TALIAFERRO MILLER DDS
Practice Location Address:

1635 LASKIN RD
VIRGINIA BEACH, VA
23451-6113

Practice Phone: 205-933-8101
Practice Fax:

1801891478 — DR. HOWARD A OSSEN O.D.
Practice Location Address:

6113 INDIAN RIVER RD
VIRGINIA BEACH, VA
23464-3503

Practice Phone: 757-420-2053
Practice Fax: 757-424-9503

1710017587 — DR. LARRY WAYNE RITTER O.D.
Practice Location Address:

6113 INDIAN RIVER RD
VIRGINIA BEACH, VA
23464-3503

Practice Phone: 757-420-2053
Practice Fax: 757-424-9503

1295901874 — DOMINION EYECARE PLLC
Practice Location Address:

6113 INDIAN RIVER RD
VIRGINIA BEACH, VA
23464-3503

Practice Phone: 757-420-2053
Practice Fax: 757-424-9503

Directions to “DENTAL PROFESSIONALS OF VIRGINIA, P.C ” 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.