# FAMILY DENTAL OF VIRGINIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689942377
- **Authorized official:** CHLOE DECOSTER (SENIOR MANAGER)
- **Authorized official phone:** (312) 274-4529

## Contact information

- **Practice address:** 2040 COLISEUM DR, STE. A27, HAMPTON, VA 23666-3200
- **Practice address phone:** (757) 262-0020
- **Mailing address:** 2040 COLISEUM DR, STE. A27, HAMPTON, VA 23666-3200
- **Mailing address phone:** (757) 262-0020

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 02/10/2025