Provider Demographics
NPI:1770829913
Name:F. CHARLES STANGE JR.,DDS, P.C.
Entity Type:Organization
Organization Name:F. CHARLES STANGE JR.,DDS, P.C.
Other - Org Name:A DIVISION OF ATLANTIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:F.
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:STANGE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-436-7700
Mailing Address - Street 1:711 GREENBRIER PKWY
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3689
Mailing Address - Country:US
Mailing Address - Phone:757-436-7700
Mailing Address - Fax:757-961-6882
Practice Address - Street 1:711 GREENBRIER PKWY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3689
Practice Address - Country:US
Practice Address - Phone:757-436-7700
Practice Address - Fax:757-961-6882
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC DENTAL CARE, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401004579122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty