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Organization
BETHEL DENTAL ASSOCIATES, P.C.
Active
Organization
BETHEL DENTAL ASSOCIATES, P.C.
Active
Other names
Resolution Dental
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL AMOAH DDS (PRESIDENT)
(757) 325-9119
Entity
Organization
Contact information
Practice address
1194 BIG BETHEL RD, HAMPTON, VA 23666-1906
(757) 325-9119
Mailing address
1090 NORTHCHASE PKWY SE, STE 150, MARIETTA, GA 30067-6405
(770) 916-5031
(678) 247-7966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
—
NULL
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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