# DENTAL SERVICES SE VIRGINIA

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

## Provider details

- **NPI number:** 1770012163
- **Authorized official:** CARTER LEE RICHARDS DDS (PRESIDENT)
- **Authorized official phone:** (757) 749-9043

## Contact information

- **Practice address:** 780 LYNNHAVEN PARKWAY, SUITE 220, VIRGINIA BEACH, VA 23452
- **Practice address phone:** (757) 486-4529
- **Mailing address:** 780 LYNNHAVEN PKWY STE 220, VIRGINIA BEACH, VA 23452-7332
- **Mailing address phone:** (757) 486-4529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401008839 | VA | Yes |

## Other

- **Enumeration date:** 06/08/2017
- **Last updated:** 07/21/2022