Jerry G Caravas in Virginia Beach - Dentist

Jerry G Caravas - NPI 1417963232

Jerry G Caravas is a Dentist in Virginia Beach, Virginia. Jerry G Caravas practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerry G Caravas is 1417963232. The last update date is 2011-11-28.

Jerry G Caravas's current location address is 307 Lynnhaven Pkwy Ste 101, Virginia Beach, Virginia. You can contact this provider via phone number 7574716020 and fax number 7574715205. The mailing address for Jerry G Caravas is 307 Lynnhaven Pkwy Ste 101, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry G Caravas
Address 307 Lynnhaven Pkwy Ste 101, Virginia Beach, Virginia
Phone Number 7574716020
Fax Number 7574715205
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1417963232
Provider Enumeration Date 2006-08-01
Last Updated Date 2011-11-28

Provider Mailing Address Detail

Address 307 Lynnhaven Pkwy Ste 101
City Virginia Beach
State Virginia (VA)
Post Code 234527430
Phone Number 7574716020
Fax Number 7574715205

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 401006102
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9178692 VA --

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FAQs about Jerry G Caravas

What is the unique provider identifier assigned to Jerry G Caravas?

The Jerry G Caravas has been issued the NPI (National Provider Identifier) 1417963232 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jerry G Caravas?

The Jerry G Caravas is physically situated at 307 Lynnhaven Pkwy Ste 101, in the city of Virginia Beach, state of VA, with the postal code 234527430.

What is Jerry G Caravas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jerry G Caravas is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Jerry G Caravas receive its 1417963232 assignment from the Centers for Medicare & Medicaid Services?

The Jerry G Caravas was assigned its 1417963232 by the Centers for Medicare & Medicaid Services on 2006-08-01.

When was the information related to Jerry G Caravas most recently updated or refreshed?

The details pertaining to the Jerry G Caravas, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-11-28.

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