Individual
MICHAEL A DENTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
356 MCLAWS CIR, SUITE 1, WILLIAMSBURG, VA 23185-6345
(757) 345-3022
(757) 220-2474
Mailing address
356 MCLAWS CIR, SUITE 1, WILLIAMSBURG, VA 23185-6345
(757) 345-3022
(757) 220-2474
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103-000450
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010095816
—
VA
01
—
145861
BLUE CROSS
VA
01
—
37737
SENTARA
VA
01
—
480028823
MEDICARE RAIL ROAD
VA
01
—
652002
MAMSI
VA
Enumeration date
06/10/2006
Last updated
12/13/2019
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