# DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA,PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA
- **Other names:** Cross Road Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265860928
- **Legal business name:** DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA
- **Authorized official:** NANCY SCHIAPARELLI (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (727) 800-8040

## Contact information

- **Practice address:** 4107 PORTSMOUTH BLVD STE 107, CHESAPEAKE, VA 23321-2140
- **Practice address phone:** (757) 488-1421
- **Practice address fax:** (727) 488-7333
- **Mailing address:** 136 4TH ST N STE 201, ST PETERSBURG, FL 33701-3889
- **Mailing address phone:** (727) 800-8026
- **Mailing address fax:** (727) 304-3164

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2013
- **Last updated:** 03/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 700145001 | — | VA |