# GOZON DENTAL PLLC

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

## Provider details

- **NPI number:** 1679436083
- **Legal business name:** ATLANTIC DENTAL CARE PLC
- **Authorized official:** DR. RAYMOND GOZON DMD (DENTIST)
- **Authorized official phone:** (757) 687-9166

## Contact information

- **Practice address:** 5333 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-5320
- **Practice address phone:** (757) 420-1507
- **Mailing address:** 208 THALIA RD, VIRGINIA BEACH, VA 23452-1857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2025
- **Last updated:** 12/03/2025