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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up