Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY D DOMARK, DMD, MS
Active Sole ProprietorDR. JEFFREY D DOMARK, DMD, MS is a Dentist healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1336119528 is currently active in the NPPES registry. Verify at CMS.
Dentist · VIRGINIA BEACH, VA
Registration Details
- NPI Number
- 1336119528
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.381885433421 yrs)
- Last Updated
- Dec 9, 2011
- Licenses
-
019-026178 (IL)0401413366 (VA)2010010741 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1550 TOMCAT BLVDSUITE 150VIRGINIA BEACH, VA, 234602188Browse VA providers · Browse ZIP 23460
- Phone
- 7579533926
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Endodontics
- Additional Specialty
- Dentist
Other Dentist Providers in VIRGINIA BEACH, VA
| Name | Credential | NPI |
|---|---|---|
| DR. JORGE PELAEZ | DMD | 1255324315 |
| DR. STEVE THOMAS TOSHIO BULLOCK | — | 1740264209 |
| ALLAN CARL SUNDIN | DDS | 1942285275 |
| DR. LESLIE ALLEN CHRISTIAN | DDS | 1134105992 |
| DR. JAMES J ANTUS | DDS | 1457331886 |
| DR. RICHARD LYNN TRAUGH | DDS | 1962482299 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.