Individual
MCKINLEY LENARD PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
635 PILOT HOUSE DR, NEWPORT NEWS, VA 23606-1980
(757) 873-2888
(757) 873-2444
Mailing address
635 PILOT HOUSE DR, NEWPORT NEWS, VA 23606-1980
(757) 873-2888
(757) 873-2444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005072
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321044
ANTHEM
—
05
—
9178617
—
VA
Enumeration date
08/02/2006
Last updated
07/08/2007
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