MEDICARE: DR. DAVID ANTHONY BITONTI 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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DS-024817-L	PA
2	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	0401418436	VA
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	0401418436	VA

General Provider Information

NPI Number	:	1902885668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ANTHONY BITONTI D.M.D.

Provider Business Mailing Address
First Line	:	4012 LAMBS CREEK CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-7031
Country	:	US
Telephone Number	:	757-937-0218
Fax Number	:	757-937-0218

Provider Business Practice Location Address
First Line	:	301 RIVERVIEW AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510-1065
Country	:	US
Telephone Number	:	757-668-7713
Fax Number	:	757-668-7711

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	08/24/2023

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Directions to “ DR. DAVID ANTHONY BITONTI D.M.D.” Practice Location

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