Individual
DR. DOUGLAS R OVERSTREET JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11551 NUCKOIS RD, STE B, GLENN ALLEN, VA 23059
(804) 270-7737
(804) 270-7475
Mailing address
11551 NUCKOIS RD, STE B, GLENN ALLEN, VA 23059
(804) 270-7737
(804) 270-7475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
VA07681
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111846
ANTHEM
VA
01
—
723292
UNITED CONCORDIA
VA
Enumeration date
11/20/2006
Last updated
07/08/2007
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