NPI 1265715601

Paul R. Letellier, DDS

Organisation Preferred Provider Organization Chesapeake, VA

Practice location

Address: 133 Kempsville Rd Suite 103, Chesapeake, VA 23320-3701
Phone: (757) 436-0026
Fax: (757) 547-5658

Authorised official

Name: Patricia Lynn Heberling
Title: Office Manager
Phone: (757) 436-0026

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 0401006063 (VA)

Other Preferred Provider Organization providers in Virginia →

Registry record

NPI: 1265715601
Entity type: Organization
NPI issued: 22 Sep 2011
Record last updated: 6 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.