Paul E. Prillaman, III, DDS, PLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

PAUL E. PRILLAMAN, III, DDS, PLC

Practice address

905 Battlefield Blvd N
101
Chesapeake, VA 23320-4875

Phone

(757) 547-2820

Fax

(757) 547-4301

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Paul Ellis Prillaman III, DDS

Title

Owner

Phone

(757) 547-2820

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1215292255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 BATTLEFIELD BLVD N STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204875",
            "telephone_number": "757-547-2820",
            "fax_number": "757-547-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BATTLEFIELD BLVD N",
            "address_2": "101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204875",
            "telephone_number": "757-547-2820",
            "fax_number": "757-547-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E. PRILLAMAN, III, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "PRILLAMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-547-2820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick R. Grube DDS PC
• Imani Omar Patterson
• Latricia A Patterson
• Marialaura C Paucar, NP
• Paul D Chidester MD Et Al
• Paul R. Letellier, DDS
• Katherine Sue Paul, NP
• Paula G. Gravitt, LLC
• Michelle Marie Paulsen, D.O.
• Leah Paulson, M.S.ED., CCC-SLP

• Oral and Maxillofacial Surgery Clinic/Center in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.