Provider Demographics
NPI:1346379278
Name:ALAN D NACHMAN DDS PC
Entity Type:Organization
Organization Name:ALAN D NACHMAN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:NACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-422-8885
Mailing Address - Street 1:508 N BIRDNECK RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6301
Mailing Address - Country:US
Mailing Address - Phone:757-422-8885
Mailing Address - Fax:757-428-6200
Practice Address - Street 1:508 N BIRDNECK RD
Practice Address - Street 2:SUITE E
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6301
Practice Address - Country:US
Practice Address - Phone:757-422-8885
Practice Address - Fax:757-428-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006697261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental