Provider Demographics
NPI:1003478140
Name:HERING, ELIZABETH HUBBARD (DDS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HUBBARD
Last Name:HERING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 LITTLE NECK RD
Mailing Address - Street 2:BUILDING 3400 SUITE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-5771
Mailing Address - Country:US
Mailing Address - Phone:757-353-4596
Mailing Address - Fax:
Practice Address - Street 1:397 LITTLE NECK RD
Practice Address - Street 2:BUILDING 3400 SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-5771
Practice Address - Country:US
Practice Address - Phone:757-353-4596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014165811223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry