Organization
CHESAPEAKE DENTAL SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE J ROBINSON (OFFICE MANAGER)
(757) 378-0906
Entity
Organization
Contact information
Practice address
560 KEMPSVILLE RD, SUITE 201, CHESAPEAKE, VA 23320
(757) 378-0906
(757) 350-8820
Mailing address
560 KEMPSVILLE RD, SUITE 201, CHESAPEAKE, VA 23320
(757) 378-0906
(757) 350-8820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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