# PARTNERS IN DENTAL HEALTH II

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

## Provider details

- **NPI number:** 1720237811
- **Authorized official:** KEENAN M DAVIS DDS (PARTNER)
- **Authorized official phone:** (757) 588-1563

## Contact information

- **Practice address:** 738 E BAYVIEW BLVD, STE 3, NORFOLK, VA 23503-5447
- **Practice address phone:** (757) 588-1563
- **Practice address fax:** (757) 962-5318
- **Mailing address:** 738 E BAYVIEW BLVD, STE 3, NORFOLK, VA 23503-5447
- **Mailing address phone:** (757) 588-1563
- **Mailing address fax:** (757) 962-5318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401005418 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0401006401 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401411811 | VA | — |
| 1223P0700X | Prosthodontics | 0401008797 | VA | — |

## Other

- **Enumeration date:** 09/12/2008
- **Last updated:** 09/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1975530 | UCCI | VA |