Provider Demographics
NPI:1790843282
Name:OCHAVE, FREDERICK PADILLA (DMD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:PADILLA
Last Name:OCHAVE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-3980
Mailing Address - Country:US
Mailing Address - Phone:757-428-3141
Mailing Address - Fax:
Practice Address - Street 1:289 INDEPENDENCE BLVD STE 229
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5491
Practice Address - Country:US
Practice Address - Phone:757-497-1618
Practice Address - Fax:757-497-8285
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401008927122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist