Provider Demographics
NPI:1275878647
Name:ERIC A. HOSEK D.D.S.,P.C.
Entity Type:Organization
Organization Name:ERIC A. HOSEK D.D.S.,P.C.
Other - Org Name:A DIVISION OF ATLANTIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOSEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-481-5900
Mailing Address - Street 1:1357 N GREAT NECK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2237
Mailing Address - Country:US
Mailing Address - Phone:757-481-5900
Mailing Address - Fax:757-222-1010
Practice Address - Street 1:1357 N GREAT NECK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2237
Practice Address - Country:US
Practice Address - Phone:757-481-5900
Practice Address - Fax:757-222-1010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC DENTAL CARE,PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty