# VERNON E. O'BERRY JR. DDS PC

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

## Provider details

- **NPI number:** 1912048828
- **Authorized official:** DR. VERNON E. O'BERRY JR. DDS (OWNER)
- **Authorized official phone:** (757) 627-1882

## Contact information

- **Practice address:** 400 GRESHAM DR, SUITE 708, NORFOLK, VA 23507-1901
- **Practice address phone:** (757) 627-1882
- **Practice address fax:** (757) 627-7807
- **Mailing address:** 400 GRESHAM DR., SUITE 708, NORFOLK, VA 23507-1234
- **Mailing address phone:** (757) 627-1882
- **Mailing address fax:** (757) 627-7807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6196 | VA | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020