MID ATLANTIC IMPLANT AND ORAL SURGERY CENTER P.C. (NPI# 1861688202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861688202 |
| Entity Type | Organization |
| Organization Name | MID ATLANTIC IMPLANT AND ORAL SURGERY CENTER P.C. |
| Practice Address |
3145 Virginia Beach Blvd Suite 206 Virginia Beach VA 23452-6950 |
| Practice Telephone | 7573409146 |
| Practice Fax Number | 7573402547 |
| Mailing Telephone | 7573409146 |
| Mailing Fax Number | 7573402547 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | DR. MICHAEL PAIGE FOLCK II (PRESIDENT) |
| Authorized Official Telephone | 7573409146 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MID ATLANTIC IMPLANT AND ORAL SURGERY CENTER P.C. | 272 Bendix Rd Ste 280, Va Beach, Virginia 23452 |
| Street Address |
3145 VIRGINIA BEACH BLVD SUITE 206 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982687562 | Drs. Shiflet, Cox and Morgan, Plc | Dentist | 3145 Virginia Beach Blvd, Suite 104, Virginia Beach, VA 23452-6950 | 2005-11-28 |
| 1023428133 | Illumination, LLC | Acupuncturist | 3145 Virginia Beach Blvd, Suite 210, Virginia Beach, VA 23452-6950 | 2014-04-29 |
| 1801127519 | Jayne Dabu | Acupuncturist | 3145 Virginia Beach Blvd, Suite 210, Virginia Beach, VA 23452-6950 | 2010-01-20 |
| 1164644761 | Richard Alan Stoermann II | Preventive Medicine | 3145 Virginia Beach Blvd, Suite 202, Virginia Beach, VA 23452 | 2007-05-03 |
| 1356497549 | Arthur Clayborn Hendricks | Dentist | 3145 Virginia Beach Blvd, Suite 108, Virginia Beach, VA 23452-6950 | 2007-01-28 |
| 1396811584 | Drs. Hechtkopf & Cox, P.C. | Dentist | 3145 Virginia Beach Blvd, Suite 200, Virginia Beach, VA 23452-6950 | 2006-11-28 |
| 1376626366 | Michael Scott Morgan | Dentist | 3145 Virginia Beach Blvd, Suite 104, Virginia Beach, VA 23452-6950 | 2006-10-23 |
| 1386733590 | William Robert Cox Jr. | Dentist | 3145 Virginia Beach Blvd, Suite 104, Virginia Beach, VA 23452-6950 | 2006-10-12 |
| 1487743670 | Harvey Hatcher Shiflet | Dentist | 3145 Virginia Beach Blvd, Suite 104, Virginia Beach, VA 23452-6950 | 2006-10-12 |
| 1255346953 | Michael Paige Folck II | Dentist | 3145 Virginia Beach Blvd, Suite 206, Virginia Beach, VA 23452-6950 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942539994 | James Antwan Gray | Dentist | 2875 Sabre St, Suite 260, Virginia Beach, VA 23452-7365 | 2009-12-21 |
| 1407867450 | Stanley John Mason | Dentist | 3145 Virginia Beach Blvd Ste 206, Virginia Beach, VA 23452-6950 | 2006-08-11 |
| 1740250430 | Caroline Marie Webber | Dentist | 2116 Mccomas Way, Virginia Beach, VA 23445 | 2006-01-25 |
| 1881672905 | Zachary James Berry | Dentist | 1127 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2006-01-09 |
| 1821079302 | Shaun B Rai | Dentist | 5720 Greenwich Rd, Virginia Beach, VA 23462-6518 | 2005-11-10 |
| 1447231337 | Melvin L Ford IIi | Dentist | 2875 Sabre Street, Suite 260, Virginia Beach, VA 23452 | 2005-11-08 |
| 1952302499 | Mona Marie Moore-meaux | Dentist | 4433 Salem Springs Way, Virginia Beach, VA 23456-1495 | 2005-08-09 |
| 1265929913 | Trent P Conelias Dds, PC | Dentist | 6033 Providence Rd, Virginia Beach, VA 23464-3815 | 2018-04-18 |
| 1992027676 | Coastal Virginia Oral and Maxillofacial Surgery, PC | Dentist | 3720 Holland Rd, Suite 100, Virginia Beach, VA 23452-2859 | 2010-02-22 |
| 1043498231 | Scott R Goodove Dds Plc | Dentist | 1127 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2008-02-10 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on MID ATLANTIC IMPLANT AND ORAL SURGERY CENTER P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.