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Active NPI 1003942012 Organization (Entity Type 2)

Dr Daniel M Etheridge Dds Ltd

Dentist • Chesapeake, VA

About Dr Daniel M Etheridge Dds Ltd NPI 1003942012 Summary

Dr Daniel M Etheridge Dds Ltd is a verified healthcare organization specializing in Dentist operating in Chesapeake, VA. Located at 1059 EDEN WAY N STE 100, this facility provides patient care and medical services under National Provider Identifier (NPI) 1003942012.

Administrative operations and authorized compliance are overseen by Daniel Etheridge (President).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1059 Eden Way N Ste 100

Chesapeake, VA 233202789

Telephone 7575472266

Authorized Official Information

Authorized Contact Name

DR. Daniel Etheridge , DDS

Title / Role

President

Official Telephone

7575472266

Facility Classifications & Specialties

Dentist Primary Taxonomy

NUCC Taxonomy Code: 122300000X

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked
Dr. Lisa Doan , DDS NPI 1518318724

Dentist - General Practice

Chesapeake, VA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1059 EDEN WAY N STE 100, CHESAPEAKE, VA 233202789 (Tel: 7575472266)

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Updated Business Mailing Address July 08, 2007

Registered at 1059 EDEN WAY N STE 100, CHESAPEAKE, VA 233202789 (Tel: 7575472266)

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Organization / Clinic Name Updated July 08, 2007

Operating as DR DANIEL M ETHERIDGE DDS LTD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

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Initial NPI Registration & Enumeration February 26, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1003942012
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: February 26, 2007
Last Update: August 22, 2020

Mailing Address

1059 Eden Way N Ste 100

Chesapeake, VA 233202789

Phone: 7575472266

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.