Provider Demographics
NPI:1437403797
Name:THOMAS E. KENT, D.D.S. P.C.
Entity Type:Organization
Organization Name:THOMAS E. KENT, D.D.S. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ETHERIDGE
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-631-9700
Mailing Address - Street 1:600 BALFOR CT.
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464
Mailing Address - Country:US
Mailing Address - Phone:757-631-9700
Mailing Address - Fax:757-631-9571
Practice Address - Street 1:3933 BONNEY RD.
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452
Practice Address - Country:US
Practice Address - Phone:757-631-9700
Practice Address - Fax:757-631-9571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010057411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty