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Active NPI 1508124462 Individual Practitioner Male Practitioner

Dr. Jack Mavromatis , DDS

Dentist - General Practice • Virginia Beach, VA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Mavromatis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Virginia Beach, VA. Practice services are available at 2248 SUNSTATES CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2248 Sunstates Ct
Suite 103

Virginia Beach, VA 234511553

Telephone 7574969123
Fax 7574962083
Associated Practice Facility / Clinic
🏢 Jack Mavromatis Dds, Ltd. Facility NPI 1134273683

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Virginia Beach, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
196 Specialists

Practicing in Virginia Beach, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401006411

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Carter Mavromatis , DMD

Dentist - General Practice

NPI 1184285330

Doctor of Dental Medicine

Ryan Maphis , RDH

Dental Hygienist

NPI 1699669812

Registered Dental Hygienist

Dr. Corey Mavromatis , DMD

Dentist - General Practice

NPI 1861142259

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2012

Registered at 2248 SUNSTATES CT, SUITE 103, VIRGINIA BEACH, VA 234511553 (Tel: 7574969123)

📍
Updated Business Mailing Address April 30, 2012

Registered at 2248 SUNSTATES CT, SUITE 103, VIRGINIA BEACH, VA 234511553 (Tel: 7574969123)

👤
Provider Name / Credentials Updated April 30, 2012

Recorded as JACK MAVROMATIS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2012

Dentist (License #0401006411 in VA)

🟢
Initial NPI Registration & Enumeration April 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508124462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2012
Last Update: April 30, 2012
Sole Proprietor: Yes

Mailing Address

2248 Sunstates Ct, Suite 103

Virginia Beach, VA 234511553

Phone: 7574969123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.