# ATLANTIC DENTAL CARE, PLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC DENTAL CARE, PLC
- **Other names:** Miguel Fernandez DDS, Ltd. a division of Atlantic Dental Care, PLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457697690
- **Legal business name:** ATLANTIC DENTAL CARE, PLC
- **Authorized official:** MIGUEL EDUARDO FERNANDEZ DDS (PRESIDENT)
- **Authorized official phone:** (757) 497-4825

## Contact information

- **Practice address:** 520 S INDEPENDENCE BLVD STE 102, VIRGINIA BEACH, VA 23452-1152
- **Practice address phone:** (757) 497-4825
- **Mailing address:** 520 S INDEPENDENCE BLVD STE 102, VIRGINIA BEACH, VA 23452-1152
- **Mailing address phone:** (757) 497-4825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410283 | VA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 12/17/2012
- **Last updated:** 06/25/2024