Provider Demographics
NPI:1356481865
Name:PATE, DAVID MANNING (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MANNING
Last Name:PATE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:303 35TH ST
Mailing Address - Street 2:#103 CTR FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY
Mailing Address - City:VA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451
Mailing Address - Country:US
Mailing Address - Phone:757-425-2332
Mailing Address - Fax:757-428-8561
Practice Address - Street 1:303 35TH ST
Practice Address - Street 2:#103 CTR FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY
Practice Address - City:VA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451
Practice Address - Country:US
Practice Address - Phone:757-425-2332
Practice Address - Fax:757-428-8561
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0401006003122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist