NPI 1003005547

Sean Phuc DO, DMD

Practitioner Pediatric Dentistry Chesapeake, VA

Practice location

Address: 1341 S Military Hwy, Chesapeake, VA 23320-2513
Phone: (757) 447-7333
Fax: (757) 394-3394

Registered specialties (2)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 0401411673 (VA)

Other Dentist providers in Virginia →

Dentist

Dental Providers Taxonomy 122300000X Licence 0401411673 (VA)

Registry record

NPI: 1003005547
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Oct 2007
Record last updated: 15 Feb 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.