# ALTHOUSE FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1649747080
- **Legal business name:** ATLANTIC DENTAL CARE, PLC
- **Authorized official:** ELLIOTT MARC ALTHOUSE (DENTIST)
- **Authorized official phone:** (757) 497-4746

## Contact information

- **Practice address:** 337 EDWIN DR STE 101, VIRGINIA BEACH, VA 23462-4560
- **Practice address phone:** (757) 497-4746
- **Mailing address:** 337 EDWIN DR STE 101, VIRGINIA BEACH, VA 23462-4560
- **Mailing address phone:** (757) 497-4746

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2018
- **Last updated:** 04/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1548367279 | NPI | VA |