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Contact Information

TRUDEAU ENDODONTICS, PC
1510 BREEZEPORT WAY
SUITE 400
SUFFOLK, VA23435-3736
 Phone: 757-638-4500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for TRUDEAU ENDODONTICS, PC

NPI # 1164846564
LBN Legal business name TRUDEAU ENDODONTICS, PC
Authorized official MICHAEL TRUDEAU - (ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2014
Last updated 02/06/2014 - About 12 years ago
Identifiers
VA License # 401411970
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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