Organization
LDG - VIRGINIA BEACH, PLLC
Active
Other names
Lighthouse Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
2521 N LANDING RD STE 100, VIRGINIA BEACH, VA 23456-3460
(757) 430-9448
Mailing address
2521 N LANDING RD STE 100, VIRGINIA BEACH, VA 23456-3460
(757) 430-9448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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