Organization
GARY NEWELL, DDS, INC.
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
DR. CARRIE CLARKSON DDS (DENTIST)
(757) 420-1507
Entity
Organization
Contact information
Practice address
5333 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-5320
(757) 420-1507
(757) 424-7920
Mailing address
5333 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-5320
(757) 420-1507
(757) 424-7920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10798
VA
122300000X
Dentist
6412
VA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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