Provider Demographics
NPI:1508261967
Name:OYSTER POINT DENTISTRY PLLC
Entity Type:Organization
Organization Name:OYSTER POINT DENTISTRY PLLC
Other - Org Name:A DIVISION OF ATLANTIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:E
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-596-6211
Mailing Address - Street 1:11848 ROCK LANDING DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4425
Mailing Address - Country:US
Mailing Address - Phone:757-596-6211
Mailing Address - Fax:757-591-0798
Practice Address - Street 1:11848 ROCK LANDING DR
Practice Address - Street 2:SUITE 301
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4425
Practice Address - Country:US
Practice Address - Phone:757-596-6211
Practice Address - Fax:757-591-0798
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC DENTAL CARE, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010067461223G0001X
VA04014114321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty