Provider Demographics
NPI:1407192537
Name:MICHAEL S. DENBAR, DDS
Entity Type:Organization
Organization Name:MICHAEL S. DENBAR, DDS
Other - Org Name:A DIVISION OF ATLANTIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:DENBAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-382-9336
Mailing Address - Street 1:1245 CEDAR RD
Mailing Address - Street 2:SUITE L
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7141
Mailing Address - Country:US
Mailing Address - Phone:757-382-9336
Mailing Address - Fax:
Practice Address - Street 1:1245 CEDAR RD
Practice Address - Street 2:SUITE L
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-7141
Practice Address - Country:US
Practice Address - Phone:757-382-9336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC DENTAL CARE, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401007664122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty