Organization · NPI-2
Icon Dental Brands PLLC
Oral & Maxillofacial Surgery · Norfolk, VA
NPI number1265376412
StatusActive
Last updated in NPPESApr 17, 2026
Details
- NPI
- 1265376412
- Entity type
- Organization (NPI-2)
- Legal business name
- Icon Dental Brands PLLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2026
- Certification date
- Apr 17, 2026
- Last updated
- Apr 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | – | – | Yes |
Practice location
155 Kingsley Ln Ste 250Norfolk, VA 23505-4629
Phone 757-224-3004
Mailing address
125 Independence Blvd Ste 300Virginia Beach, VA 23462-6705
Other practice locations
5372 Discovery Park Blvd
Williamsburg, VA 23188-6437
Williamsburg, VA 23188-6437
Phone 757-224-3000
125 Independence Blvd # 300
Virginia Beach, VA 23462-6705
Virginia Beach, VA 23462-6705
Phone 757-224-3004
2148 W Mercury Blvd
Hampton, VA 23666-3111
Hampton, VA 23666-3111
Phone 757-224-3004
Authorized official
Yugal Behl
Owner
7573742785
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