Organization
COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAYLOR HICKMAN (OFFICE ASSISTANT)
(757) 366-0330
Entity
Organization
Contact information
Practice address
931 PROVIDENCE RD, CHESAPEAKE, VA 23325-4200
(757) 366-0330
(757) 366-0550
Mailing address
931 PROVIDENCE RD, CHESAPEAKE, VA 23325-4200
(757) 366-0330
(757) 366-0550
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0401411210
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649318247
NPI
VA
01
—
1992010953
THAMES NPI
VA
Enumeration date
11/01/2016
Last updated
11/01/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us