# CENTER FOR RESTORATIVE, COSMETIC, AND IMPLANT DENTISTRY

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

## Provider details

- **NPI number:** 1568857472
- **Legal business name:** ATLANTIC DENTAL CARE, PLC
- **Authorized official:** KARYN MONTGOMERY (OFFICE MANAGER)
- **Authorized official phone:** (757) 547-2770

## Contact information

- **Practice address:** 711 GREENBRIER PKWY, CHESAPEAKE, VA 23320-3689
- **Practice address phone:** (757) 547-2770
- **Mailing address:** 711 GREENBRIER PKWY, CHESAPEAKE, VA 23320-3689
- **Mailing address phone:** (757) 547-2770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401412179 | VA | Yes |

## Other

- **Enumeration date:** 03/30/2015
- **Last updated:** 03/30/2015