# HARRY SQUIRE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC DENTAL CARE, PLC
- **Other names:** A division of Atlantic Dental Care, PLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619544749
- **Legal business name:** ATLANTIC DENTAL CARE, PLC
- **Authorized official:** DR. HARRY WOOTEN SQUIRE DDS (DENTIST)
- **Authorized official phone:** (434) 594-7453

## Contact information

- **Practice address:** 516 INNOVATION DR STE 302, CHESAPEAKE, VA 23320-3866
- **Practice address phone:** (757) 436-0026
- **Mailing address:** 516 INNOVATION DR STE 302, CHESAPEAKE, VA 23320-3866
- **Mailing address phone:** (757) 436-0026

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2021
- **Last updated:** 06/08/2021