# DR ROBERT IERVOLINO DDS PC

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

## Provider details

- **NPI number:** 1982730347
- **Authorized official:** DR. ROBERT ALLEN IERVOLINO DDS (PRESIDENT)
- **Authorized official phone:** (757) 495-2100

## Contact information

- **Practice address:** 987 PROVIDENCE SQUARE, VIRGINIA BEACH, VA 23464-4301
- **Practice address phone:** (757) 495-2100
- **Practice address fax:** (757) 495-1153
- **Mailing address:** 987 PROVIDENCE SQUARE, VIRGINIA BEACH, VA 23464-4301
- **Mailing address phone:** (757) 495-2100
- **Mailing address fax:** (757) 495-1153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401004434 | VA | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 08/22/2020