VERNON E. O'BERRY, JR. DDS (NPI# 1083126320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083126320 |
| Entity Type | Organization |
| Organization Name | VERNON E. O'BERRY, JR. DDS |
| Other Organization Name | VERNON E. O'BERRY, JR. DDS |
| Practice Address |
400 Gresham Dr Ste 708 Norfolk VA 23507-1991 |
| Practice Telephone | 7576271882 |
| Practice Fax Number | 7576277807 |
| Mailing Telephone | 7576271882 |
| Mailing Fax Number | 7576277807 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | VERNON E. O'BERRY, JR. (DENTIST) |
| Authorized Official Telephone | 7576271882 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | ATLANTIC DENTAL CARE, PLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401006196 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Vernon E. O'Berry, Jr. DDS | Doing Business As Name - Organization |
| Vernon E. O'Berry, Jr., DDS | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1062 Laskin Rd Ste 14a, Virginia Beach, VA 234516386 | 7576271882 |
| Street Address |
400 GRESHAM DR STE 708 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003576 | Se Eun Ahn | Dentist | 1647 Admiral Taussig Blvd Ste 241, Norfolk, VA 23511-2803 | 2020-08-14 |
| 1740767276 | Yvonne Mack | Dentist | 1011 W Little Creek Rd Ste A, Norfolk, VA 23505-2025 | 2018-07-27 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1295226710 | Aspen Dental of Eastern Virginia Pllc | Dentist | 1087 N Military Hwy, Norfolk, VA 23502-0028 | 2018-05-21 |
| 1295116382 | Wyley Wondercheck | Dentist | 513 S. 13th St., Norfolk, NE 68701 | 2015-06-15 |
| 1457731945 | Shabtai Sapir | Dentist | 65 Holbrook St Ste 210, Norfolk, MA 02056-1850 | 2015-06-01 |
| 1275930596 | Asif Sharif | Dentist | 5900 E Va Beach Blvd Ste 70, Norfolk, VA 23502-2514 | 2014-12-02 |
| 1891103321 | Matthew E Simon | Dentist | 5801 Lowery Rd, 101, Norfolk, VA 23502-2213 | 2014-07-28 |
| 1386080109 | John Steve Kuvetakis | Dentist | 110 N 16th St Ste 12, Norfolk, NE 68701-3671 | 2013-05-20 |
| 1427319300 | The Foleck Center | Dentist | 201 College Place, #111, Norfolk, VA 23510 | 2012-06-06 |
| Find all providers in NORFOLK | ||||
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| 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.