William B. Pruden, D.M.D., P.L.C.

LBN: William B. Pruden, D.M.D., P.L.C.
William B. Pruden, D.M.D., P.L.C. is an health care organization with primary practice located at 1421 Kempsville Rd Suite C, Chesapeake VA 23320-1406. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. William B. Pruden, D.M.D., P.L.C. can be contacted via phone (757) 549-8077, or through Pruden, William Bailey via phone (757) 549-8077.

Contact Information

Primary practice address
1421 Kempsville Rd Suite C Chesapeake VA 23320-1406
Fax: (757) 549-4497
Website:
Authorized official contact:
Name: Pruden, William Bailey Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401008656 Virginia

Profile Details

NPI number 1780853259
LBN Legal business name William B. Pruden, D.M.D., P.L.C.
DBA Doing business as
Authorized official Pruden, William Bailey Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2008
Last updated Feb 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780853259 NPPES
Virginia Other 258032 BC/BS OF VIRGINIA
Virginia Other 2QB260 BC/BS OF VIRGINIA
Virginia MEDICAID 7801106 BC/BS OF VIRGINIA
Virginia Other 322736 BC/BS OF VIRGINIA
Virginia Other 1574 BC/BS OF VIRGINIA

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