# DENTAL PROFESSIONALS OF VIRGINIA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF VIRGINIA, P.C.
- **Other names:** Cedar Lakes Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184215139
- **Legal business name:** DENTAL PROFESSIONALS OF VIRGINIA, P.C.
- **Authorized official:** CELIA HAYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 1305 CEDAR RD, CHESAPEAKE, VA 23322-7105
- **Practice address phone:** (757) 337-4090
- **Practice address fax:** (757) 819-7844
- **Mailing address:** 1305 CEDAR RD, CHESAPEAKE, VA 23322-7105
- **Mailing address phone:** (757) 337-4090
- **Mailing address fax:** (757) 819-7844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 02/25/2021