Individual
DR. RICHARD KENNETH QUIGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
984 FIRST COLONIAL RD, SUITE 300, VIRGINIA BEACH, VA 23454-3196
(757) 496-6690
(757) 496-6695
Mailing address
984 FIRST COLONIAL RD, SUITE 300, VIRGINIA BEACH, VA 23454-3196
(757) 496-6690
(757) 496-6695
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401006635
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243296
ANTHEM
VA
01
—
571199
UNITED CONCORDIA
VA
Enumeration date
10/19/2006
Last updated
07/08/2007
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