Provider Demographics
NPI:1902202047
Name:YORKSHIRE FAMILY DENTISTRY PC
Entity Type:Organization
Organization Name:YORKSHIRE FAMILY DENTISTRY PC
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:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-867-9341
Mailing Address - Street 1:3212 HAMPTON HWY STE A
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-4948
Mailing Address - Country:US
Mailing Address - Phone:757-867-9341
Mailing Address - Fax:757-867-7743
Practice Address - Street 1:3212 HAMPTON HWY STE A
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23693-4948
Practice Address - Country:US
Practice Address - Phone:757-867-9341
Practice Address - Fax:757-867-7743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401007434122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty