# MELVIN E. CRUSER III, DDS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC DENTAL CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497090864
- **Legal business name:** ATLANTIC DENTAL CARE
- **Authorized official:** MRS. SARA S CRUSER (OFFICE MANAGER)
- **Authorized official phone:** (757) 490-3111

## Contact information

- **Practice address:** 1209 INDEPENDENCE BLVD, SUITE 110, VIRGINIA BEACH, VA 23455-5568
- **Practice address phone:** (757) 490-3111
- **Practice address fax:** (757) 499-8768
- **Mailing address:** 1209 INDEPENDENCE BLVD, SUITE 110, VIRGINIA BEACH, VA 23455-5568
- **Mailing address phone:** (757) 490-3111
- **Mailing address fax:** (757) 499-8768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401005830 | VA | Yes |

## Other

- **Enumeration date:** 12/11/2012
- **Last updated:** 12/11/2012