# GLADSTONE & SALERNO, DDS,PC

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

## Provider details

- **NPI number:** 1962431643
- **Authorized official:** DR. MYRON DAVID GLADSTONE DDS (DENTIST)
- **Authorized official phone:** (757) 424-3657

## Contact information

- **Practice address:** 5318 PROVIDENCE RD, VIRGINIA BEACH, VA 23464-4102
- **Practice address phone:** (757) 424-3657
- **Practice address fax:** (757) 424-3451
- **Mailing address:** 5318 PROVIDENCE RD, VIRGINIA BEACH, VA 23464-4102
- **Mailing address phone:** (757) 424-3657
- **Mailing address fax:** (757) 424-3451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4418 & 6630 | VA | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 094701 | ANTHEM BC/BS | CA |
| 01 | — | 817549 | UNITED CONCORDIA | PA |