NPI 1083694491

Merrilyn Peterson Prucha, RDH

Practitioner Dental Hygienist Virginia Beach, VA

Practice location

Address: 1550 Tomcat Blvd, Virginia Beach, VA 23460-2218
Phone: (757) 314-7190
Mailing address: 1901 Eastover CT, Virginia Beach, VA 23464-8911

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 0402002559 (VA)

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Registry record

NPI: 1083694491
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jan 2006
Record last updated: 13 Jul 2026

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.