Provider Demographics
NPI:1679653224
Name:DOBSON, JOSEPH C III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:DOBSON
Suffix:III
Gender:M
Credentials:DDS
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2100 LYNNHAVEN PKWY
Mailing Address - Street 2:SUUITE #100
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-1492
Mailing Address - Country:US
Mailing Address - Phone:757-416-1400
Mailing Address - Fax:757-416-9276
Practice Address - Street 1:2100 LYNNHAVEN PKWY
Practice Address - Street 2:SUUITE #100
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-1492
Practice Address - Country:US
Practice Address - Phone:757-416-1400
Practice Address - Fax:757-416-9276
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014100581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA816276OtherUNITED CONCORDIA ID
VA019711OtherANTHEM ID