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Contact Information

DRS BUSSEY MAYO ARCHER LTD
2995 CHURCHLAND BLVD
CHESAPEAKE, VA23321
 Phone: 757-483-2167
 Fax: 757-483-9320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DRS BUSSEY MAYO ARCHER LTD

NPI # 1689754277
LBN Legal business name DRS BUSSEY MAYO ARCHER LTD
Authorized official SHANDALE GREGORY - (BILLING FINANCIAL COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
VA License # 0401004066
VA License # 0401007693
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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