Provider Demographics
NPI:1760928345
Name:VC MANAGEMENT
Entity Type:Organization
Organization Name:VC MANAGEMENT
Other - Org Name:SEBASTIAN SMILES PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:772-288-6001
Mailing Address - Street 1:621 SEBASTIAN BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-4309
Mailing Address - Country:US
Mailing Address - Phone:772-288-6001
Mailing Address - Fax:772-288-6002
Practice Address - Street 1:621 SEBASTIAN BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-4309
Practice Address - Country:US
Practice Address - Phone:772-288-6001
Practice Address - Fax:772-288-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16681261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental