# BETHEL DENTAL ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Resolution Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730551706
- **Authorized official:** EMMANUEL AMOAH DDS (PRESIDENT)
- **Authorized official phone:** (757) 325-9119

## Contact information

- **Practice address:** 1194 BIG BETHEL RD, HAMPTON, VA 23666-1906
- **Practice address phone:** (757) 325-9119
- **Mailing address:** 1090 NORTHCHASE PKWY SE, STE 150, MARIETTA, GA 30067-6405
- **Mailing address phone:** (770) 916-5031
- **Mailing address fax:** (678) 247-7966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223D0004X | Dental Anesthesiology | — | NULL | — |
| 1223D0004X | Dental Anesthesiology | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 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
