# RESTORE DENTAL CENTER OF HAMPTON ROADS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AUGUST HOLDING CORPORATION
- **Other names:** ReStore Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851051320
- **Legal business name:** AUGUST HOLDING CORPORATION
- **Authorized official:** MR. SHANE AUGUST (PRESIDENT)
- **Authorized official phone:** (757) 490-7866

## Contact information

- **Practice address:** 223 E CITY HALL AVE, NORFOLK, VA 23510-1724
- **Practice address phone:** (757) 490-7866
- **Mailing address:** 1 COLUMBUS CTR STE 600, VIRGINIA BEACH, VA 23462-6760
- **Mailing address phone:** (757) 490-7866

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2021
- **Last updated:** 12/27/2021