Individual
DR. ANDREA LYNNETTE SHORTEREVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7550
Mailing address
225 CRESTON CT, CHESAPEAKE, VA 23323-4085
(757) 513-3227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008394
VA
122300000X
Dentist
11678
MD
Other
Enumeration date
02/17/2006
Last updated
04/26/2021
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