Richard Blackwood Grundy in Virginia Beach - Dentist
Richard Blackwood Grundy - NPI 1396810537
Richard Blackwood Grundy is a Dentist in Virginia Beach, Virginia. Richard Blackwood Grundy practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Blackwood Grundy is 1396810537. The last update date is 2007-07-08.
Richard Blackwood Grundy's current location address is 1805 Laskin Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7573211870 and fax number 7579630468. The mailing address for Richard Blackwood Grundy is 1805 Laskin Rd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Blackwood Grundy |
|---|---|
| Address | 1805 Laskin Rd, Virginia Beach, Virginia |
| Phone Number | 7573211870 |
| Fax Number | 7579630468 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1396810537 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1805 Laskin Rd |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234544538 |
| Phone Number | 7573211870 |
| Fax Number | 7579630468 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 401008590 |
|
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 |
|---|---|---|---|
| 401008590 | VA | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard Blackwood Grundy by the Centers for Medicare & Medicaid Services?
The Richard Blackwood Grundy has been issued the NPI (National Provider Identifier) 1396810537 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Richard Blackwood Grundy is located?
The Richard Blackwood Grundy is situated at the following address: 1805 Laskin Rd, Virginia Beach, VA, 234544538.
What is Richard Blackwood Grundy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Blackwood Grundy's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Richard Blackwood Grundy receive the assignment of its 1396810537 from the Centers for Medicare & Medicaid Services?
The Richard Blackwood Grundy was issued its 1396810537 by the Centers for Medicare & Medicaid Services on 2006-11-22.
When was the information related to Richard Blackwood Grundy most recently updated or refreshed?
The details pertaining to the Richard Blackwood Grundy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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