Provider Demographics
NPI:1669821039
Name:DOS SANTOS, ERIKA MEIRELES
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:MEIRELES
Last Name:DOS SANTOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3048 BERKMAR DR STE A
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-3404
Mailing Address - Country:US
Mailing Address - Phone:434-465-2136
Mailing Address - Fax:434-465-2136
Practice Address - Street 1:3048 BERKMAR DR STE A
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-3404
Practice Address - Country:US
Practice Address - Phone:434-465-2136
Practice Address - Fax:434-465-2136
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014151901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice