Paul Ellis Prillaman DDS

NPI 1063420263 - Dentist - 1223P0106X

NPI Details
NPI 1063420263
Gender Male
Enumeration Date 08/03/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
905 BATTLEFIELD BLVD N
SUITE 101
CHESAPEAKE VA, 23320-4875, US
Phone (757) 547-2820
Fax (757) 547-4301
Business Location
905 BATTLEFIELD BLVD N
SUITE 101
CHESAPEAKE VA, 23320-4875, US
Phone (757) 547-2820
Fax (757) 547-4301
Toxanomy
Taxonomy Code 1223P0106X
License State Virginia
License Number 0401007554
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According to our database, Dr. Paul Ellis Prillaman DDS NPI is 1063420263, taxonomy code is 1223P0106X and license number is 0401007554, license state is located at Virginia. Paul Ellis Prillaman DDS physically located at 905 Battlefield Blvd N, Chesapeake VA, 23320-4875. NPI Number Paul Ellis Prillaman DDS has the Individual type.

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1063420263 NPI number is provided on an as is basis without warranty of any kind. 1063420263 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Ellis Prillaman DDS are for informational purposes only.