Dr Daniel M Etheridge DDS Ltd
Dentist in Chesapeake, VA. Organization (NPI-2).
NPI number1003942012
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1003942012
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Daniel M Etheridge DDS Ltd
- Organization subpart
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Greenbrier Dental Center (Doing Business As)
Practice location
1059 Eden Way N Ste 100Chesapeake, VA 23320-2789
Phone 757-547-2266
Mailing address
1059 Eden Way N Ste 100Chesapeake, VA 23320-2789
Phone 757-547-2266
Authorized official
Daniel M Etheridge
President
7575472266
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