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

Marybeth Fasano DMD PC

Organization Dental Clinic/Center · NPI 1194905539

Marybeth Fasano DMD PC is a Dental Clinic/Center in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

984 First Colonial Rd Ste 200
Virginia Beach, VA 23454-3196
Phone: (757) 412-2235
Fax: (757) 412-2237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 0401008908 (VA)

Record details

NPI number1194905539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shana Randolph — Insurance/Financial Coordinator · (757) 412-2235
NPI enumeratedNovember 13, 2007
Last updated in NPPESNovember 13, 2007
Mailing address984 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-3196

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