Elizabeth Ann Bernhard, DMD
Individual provider Active NPI Public Health Dentistry · Smithfield, VA
NPI 1073604765 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073604765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health Dentistry 1223D0001X
- License
- 0401004974 (VA)
- Practice address
- 402 Grace St
Smithfield, VA 23430-1134 - Phone
- (757) 357-4177
- Fax
- (757) 357-2838
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401004974 | VA | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth of Virginia State Board of Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 0401004974 | VA | Yes |
Addresses
Primary practice location
402 Grace St
Smithfield, VA 23430-1134
Mailing address
402 Grace St
Smithfield, VA 23430-1134
Phone (757) 357-4177
Other providers in Smithfield, VA
- Karen Elizabeth Bailey
- Kiauna Batten
- Sandra S Baucom
- Kimberly Marie Beall
- James Berkeley
- Bewell- Lifestyle & Functional Health
- Samuel J Bikkers Jr.
- Victoria Lynn Miller Bikkers
- Shirl Boone
- Britney Bostick
All providers in Smithfield, VA · Public Health Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.