Organization
ALTHOUSE FAMILY DENTISTRY PLLC
Active
Parent organization
ATLANTIC DENTAL CARE, PLC
Other names
a division of Atlantic Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC DENTAL CARE, PLC
Authorized official
ELLIOTT MARC ALTHOUSE (DENTIST)
(757) 497-4746
Entity
Organization
Contact information
Practice address
337 EDWIN DR STE 101, VIRGINIA BEACH, VA 23462-4560
(757) 497-4746
Mailing address
337 EDWIN DR STE 101, VIRGINIA BEACH, VA 23462-4560
(757) 497-4746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548367279
NPI
VA
Enumeration date
10/24/2018
Last updated
04/05/2021
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