Organization Active NPI

D E Cleckner Jr. DDS PC

Doing business as Dennis E. Cleckner DDS PC

  • Dental Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1023200573
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401006439 Issued in VA
Legal business name
D E CLECKNER JR. DDS PC
Doing business as
Dennis E. Cleckner DDS PC
Practice address
228 N Lynnhaven Rd
Suite 105
Virginia Beach, VA 23452-7514
Phone
(757) 340-3231
Fax
(757) 340-3231
NPI assigned
Aug 17, 2007
Last updated
Aug 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dennis E Cleckner, DDS
Title
President
Phone
(757) 340-3231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401006439 VA Primary

Addresses

Primary practice location

228 N Lynnhaven Rd
Suite 105
Virginia Beach, VA 23452-7514

Mailing address

228 N Lynnhaven Rd
Suite 105
Virginia Beach, VA 23452-7514
Phone (757) 340-3231

Other names 1

  • Dennis E. Cleckner DDS PC Doing business as

National Provider Directory

National Provider Directory

Locations

228 N Lynnhaven Rd
Ste 105
Virginia Beach, VA 23452
Phone (757) 340-3231

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1023200573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N LYNNHAVEN RD",
            "address_2": "SUITE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527514",
            "telephone_number": "757-340-3231",
            "fax_number": "757-340-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N LYNNHAVEN RD",
            "address_2": "SUITE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527514",
            "telephone_number": "757-340-3231",
            "fax_number": "757-340-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D E CLECKNER JR. DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "CLECKNER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-340-3231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401006439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis E. Cleckner DDS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.