ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC; NPI #1124572417

Contact Information

ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC

4053 TAYLOR RD
SUITE J
CHESAPEAKE, VA 23321-5537

Phone: 757-484-2382
Fax: 757-484-2383
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC

NPI Number 1124572417

LBN Legal business name ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC

Authorized official BRIAN SZAKALY - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/04/2016

Last updated 08/04/2016 - About 10 years ago

Identifiers

License #

401411215

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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