Myron David Gladstone in Virginia Beach - General Practice

Myron David Gladstone - NPI 1942233887

Myron David Gladstone is a General Practice in Virginia Beach, Virginia. Myron David Gladstone practices all healthcare services and medical treatments related to General Practice. The NPI Number for Myron David Gladstone is 1942233887. The last update date is 2007-07-08.

Myron David Gladstone's current location address is 5318 Providence Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7574243657 and fax number 7574243451. The mailing address for Myron David Gladstone is 5318 Providence Rd, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Myron David Gladstone
Address 5318 Providence Rd, Virginia Beach, Virginia
Phone Number 7574243657
Fax Number 7574243451
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1942233887
Provider Enumeration Date 2006-07-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5318 Providence Rd
City Virginia Beach
State Virginia (VA)
Post Code 234644102
Phone Number 7574243657
Fax Number 7574243451

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4418
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
817549 PA UNITED CONCORDIA
94701 CA ANTHEM BC/BS

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FAQs about Myron David Gladstone

What is the unique identifier code issued to Myron David Gladstone by the Centers for Medicare & Medicaid Services (CMS)?

The Myron David Gladstone has been assigned the NPI (National Provider Identifier) 1942233887. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Myron David Gladstone's facilities are geographically located?

The facilities of Myron David Gladstone are physically situated at the following location: 5318 Providence Rd, Virginia Beach, VA, 234644102.

What is the Myron David Gladstone's specialty and taxonomy code?

The Myron David Gladstone's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date was the 1942233887 assigned to Myron David Gladstone?

The Myron David Gladstone was issued its 1942233887 on 2006-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Myron David Gladstone most recently updated or refreshed?

The details pertaining to the Myron David Gladstone, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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