Individual
DR. W. TODD BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
220 MOUNT PLEASANT RD, SUITE 200, CHESAPEAKE, VA 23322-4113
(757) 546-3888
(757) 546-3636
Mailing address
220 MOUNT PLEASANT RD, SUITE 200, CHESAPEAKE, VA 23322-4113
(757) 546-3888
(757) 546-3636
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401008215
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1321492
UNITED CONCORDIA
VA
01
—
267886
ANTHEM
VA
Enumeration date
07/10/2007
Last updated
07/10/2007
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