Provider Demographics
NPI:1942424239
Name:MAYBEE, DAVID A JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:MAYBEE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 RADFORD LN
Mailing Address - Street 2:#100
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-7466
Mailing Address - Country:US
Mailing Address - Phone:434-823-1274
Mailing Address - Fax:434-823-1275
Practice Address - Street 1:540 RADFORD LN
Practice Address - Street 2:#100
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-7466
Practice Address - Country:US
Practice Address - Phone:434-823-1274
Practice Address - Fax:434-823-1275
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014107761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice