Active NPI
George Lawrence Nance Jr., DDS MSD
- Prosthodontics
- Newport News, VA
National Provider Identifier
1184892358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 0401004907
- Practice address
- 608 Denbigh Blvd
Suite 805
Newport News, VA 23608 - Phone
- (757) 872-0617
- NPI assigned
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 0401004907 | VA | Primary |
Addresses
Primary practice location
608 Denbigh Blvd
Suite 805
Newport News, VA 23608
Mailing address
608 Denbigh Blvd
Suite 805
Newport News, VA 23608
Phone (757) 872-0617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401004907 | VA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1184892358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 DENBIGH BLVD",
"address_2": "SUITE 805",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23608",
"telephone_number": "757-872-0617",
"fax_number": "757-872-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 DENBIGH BLVD",
"address_2": "SUITE 805",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23608",
"telephone_number": "757-872-0617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANCE",
"first_name": "GEORGE",
"middle_name": "LAWRENCE",
"name_suffix": "Jr.",
"credential": "DDS MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "VA",
"license": "0401004907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.