# JERRY G CARAVAS, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386778900
- **Authorized official:** JERRY G CARAVAS DDS PRESIDENT (DENTIST OWNER)
- **Authorized official phone:** (757) 471-6020

## Contact information

- **Practice address:** 1539 AMBERLEY FOREST RD, VIRGINIA BEACH, VA 23453-4706
- **Practice address phone:** (757) 471-6020
- **Practice address fax:** (757) 471-5205
- **Mailing address:** 1539 AMBERLEY FOREST RD, VIRGINIA BEACH, VA 23453-4706
- **Mailing address phone:** (757) 471-6020
- **Mailing address fax:** (757) 471-5205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401006102 | VA | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 11/28/2011