National Provider Identifier Database

GB DEVERA DDS PC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

GB DEVERA DDS, PC
2373 COLONY CROSSING PL
MIDLOTHIAN, VA23112-4280
Phone: 804-464-1852
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for GB DEVERA DDS, PC

NPI Number 1376715011
Legal business name
LBN
GB DEVERA DDS, PC
Authorized official SHARON SHEPPARD - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/01/2008
Last updated 04/01/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0401410103

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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