# EDWARD J. WEISBERG,D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC DENTAL CARE, PLC
- **Other names:** a division of Atlantic Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871839498
- **Legal business name:** ATLANTIC DENTAL CARE, PLC
- **Authorized official:** DR. EDWARD J WEISBERG D.D.S. (DENTIST)
- **Authorized official phone:** (757) 440-0044

## Contact information

- **Practice address:** 801 W LITTLE CREEK RD STE 103, NORFOLK, VA 23505-2036
- **Practice address phone:** (757) 440-0044
- **Practice address fax:** (757) 961-6882
- **Mailing address:** 900 W LITTLE CREEK RD, NORFOLK, VA 23505-2024
- **Mailing address phone:** (757) 440-0044
- **Mailing address fax:** (757) 440-0092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4515 | VA | Yes |

## Other

- **Enumeration date:** 12/31/2012
- **Last updated:** 01/30/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 007805411 | — | VA |
