MARYBETH FASANO


Address: 984 First Colonial Rd, Suite 200, Virginia Beach, VA 23454
Phone: 7574122235

MARYBETH FASANO (NPI# 1801817002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801817002
Entity Type Individual
Full Name MARYBETH FASANO
Credential DMD
Practice Address 984 First Colonial Rd
Suite 200
Virginia Beach
VA 23454
Practice Telephone 7574122235
Practice Fax Number 7574122237
Mailing Telephone 7574122235
Mailing Fax Number 7574122237
Enumeration Date 2006-07-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 0401008908 VA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM 153899 01
UNITED CONCORDIA 980759 01

Office Location

Street Address 984 FIRST COLONIAL RD
SUITE 200
City VIRGINIA BEACH
State VA
Zip Code 23454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356397566 Richard B Abriss Specialist 984 First Colonial Rd, Suite 302, Virginia Beach, VA 23454-3196 2006-05-26
1912390816 Richard B Abriss Md PC Specialist 984 First Colonial Rd, Suite 101, Virginia Beach, VA 23454-3196 2015-03-17
1750617338 Paul Michael Harvey Audiologist 984 First Colonial Rd, Ste 302, Virginia Beach, VA 23454-3196 2009-11-02
1366620098 Carol F. Morgan, Dds, Vb, Pllc Clinic/Center 984 First Colonial Rd, Suite 101, Virginia Beach, VA 23454-3196 2008-02-05
1194905539 Marybeth Fasano Dmd PC Clinic/Center 984 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-3196 2007-11-13
1841364056 Claire J Dowling Audiologist 984 First Colonial Rd, Suite 302, Virginia Beach, VA 23454-3196 2006-11-20
1932280351 Richard Kenneth Quigg Dentist 984 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-3196 2006-10-19
1821178047 Scott R Morin Specialist 984 First Colonial Rd, Suite 302, Virginia Beach, VA 23454-3196 2006-10-16
1497835615 Coastal Ear Nose and Throat Surgeons Specialist 984 First Colonial Rd, Suite 302, Virginia Beach, VA 23454-3196 2006-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356994263 Agape Consulting Behavioral Analyst 1216 Garth Court, Virginia Beach, VA 23454 2019-07-19
1831650266 Amelia Jo Crutsinger Physician Assistant 1644 Kepler Bnd, Virginia Beach, VA 23454 2019-03-28
1538639158 Bay Psychiatric II Inc Counselor 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 2018-11-26
1487151759 Akanksha Mohan Student in an Organized Health Care Education/Training Program 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 2018-04-12
1275038580 Food Lion, LLC Durable Medical Equipment & Medical Supplies 1615 General Booth Blvd, Virginia Beach, VA 23454 2018-03-28
1346783164 Tracy Chasse Occupational Therapy Assistant 1628 Old Donation Parkway, Virginia Beach, VA 23454 2016-11-28
1982066627 Jennifer Mitchell Speech-Language Pathologist 2101 Agecroft Rd., Virginia Beach, VA 23454 2016-03-22
1659730562 Rebecca Houvener Psychologist 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 2016-02-19
1932581741 Monica Jane Bailey Nurse Practitioner 2110 N Great Neck Rd, Virginia Beach, VA 23454 2015-06-29
1376930073 Ashley A Burkholder Family Medicine 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 2015-04-20
Find all providers in zip 23454

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952909731 Kimia Khoshroo Dentist 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 2020-10-13
1811523459 Kerin E Gustafson Dentist 2204 General Booth Blvd Ste 400, Virginia Beach, VA 23454-5934 2020-03-16
1346884400 Asra R Javeed Dmd PC Dentist 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 2019-11-01
1427602754 Jennifer Matika Dentist 397 Little Neck Rd Ste 101, Virginia Beach, VA 23452-5771 2019-07-25
1801309596 Thomas A Mckee Dds PC Dentist 5261 Challedon Dr, Virginia Beach, VA 23462-6315 2017-11-16
1215463963 E James Reitano, Dds Dentist 6062 Indian River Rd, Suite 103, Virginia Beach, VA 23464-3821 2017-05-01
1841736634 Dmitry Keysalov Dentist 1074 Grand Oak Ln, Virginia Beach, VA 23455-7218 2017-01-17
1821478223 Sarah George Dentist 142 Independence Blvd, Virginia Beach, VA 23462-6718 2015-06-02
1396124509 Hoang Ho Dentist 1909 Landstown Centre Way Ste 100, Virginia Beach, VA 23456-1625 2015-05-20
1043698145 Julie Ball, Dmd Dentist 1515 Lynnhaven Pkwy, Virginia Beach, VA 23453-2054 2015-05-11
Find all providers in VIRGINIA BEACH

Competitor

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City VIRGINIA BEACH
Zip Code 23454

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Dataset Information

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.

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