# CHARLES S. LLEWELLYN III

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC DENTAL CARE, PLC
- **Other names:** A DIVISION OF ALANTIC DENTAL CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053657171
- **Legal business name:** ATLANTIC DENTAL CARE, PLC
- **Authorized official:** DR. CHARLES SILAS LLEWELLYN III DDS (DENTIST)
- **Authorized official phone:** (757) 428-2571

## Contact information

- **Practice address:** 933 FIRST COLONIAL RD, SUITE 104, VIRGINIA BEACH, VA 23454-3172
- **Practice address phone:** (757) 428-2571
- **Practice address fax:** (757) 422-4236
- **Mailing address:** 933 FIRST COLONIAL RD, SUITE 104, VIRGINIA BEACH, VA 23454-3172
- **Mailing address phone:** (757) 428-2571
- **Mailing address fax:** (757) 422-4236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4010062461 | VA | Yes |

## Other

- **Enumeration date:** 12/18/2012
- **Last updated:** 12/18/2012