Organization
PAUL E. PRILLAMAN, III, DDS, PLC
Active
Organization
PAUL E. PRILLAMAN, III, DDS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAUL ELLIS PRILLAMAN III DDS (OWNER)
(757) 547-2820
Entity
Organization
Contact information
Practice address
905 BATTLEFIELD BLVD N, 101, CHESAPEAKE, VA 23320-4875
(757) 547-2820
(757) 547-4301
Mailing address
905 BATTLEFIELD BLVD N STE 101, CHESAPEAKE, VA 23320-4875
(757) 547-2820
(757) 547-4301
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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