Provider Demographics
NPI:1982687562
Name:DRS. SHIFLET, COX AND MORGAN, PLC
Entity Type:Organization
Organization Name:DRS. SHIFLET, COX AND MORGAN, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:SHIFLET
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-340-7602
Mailing Address - Street 1:3145 VIRGINIA BEACH BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-6950
Mailing Address - Country:US
Mailing Address - Phone:757-340-7602
Mailing Address - Fax:757-340-8609
Practice Address - Street 1:3145 VIRGINIA BEACH BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6950
Practice Address - Country:US
Practice Address - Phone:757-340-7602
Practice Address - Fax:757-340-8609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA331139OtherBCBS
VA523320OtherUNITED CONCORDIA
VA331140OtherBCBS
VA549754OtherUNITED CONCORDIA
VA791107OtherUNITED CONCORDIA
VA331138OtherBCBS