Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cd Virginia Dental, PC

Organization Dentist · NPI 1972149789

Cd Virginia Dental, PC is a Dentist in Virginia Beach, Virginia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

836 First Colonial Rd
Virginia Beach, VA 23451-6126
Phone: (757) 428-8747
Fax: (757) 422-8165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X

Record details

NPI number1972149789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Justice — Director, Payer Relations · (513) 808-4984
Other names General & Implant Dentistry Of Tidewater
NPI enumeratedNovember 27, 2019
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address9825 Kenwood Rd Ste 200, Blue Ash, OH 45242-6252

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