Paul R. Letellier, DDS

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0401006063 Issued in VA

Legal business name

PAUL R. LETELLIER, DDS

Practice address

133 Kempsville Rd
Suite 103
Chesapeake, VA 23320-3701

Phone

(757) 436-0026

Fax

(757) 547-5658

NPI assigned

Sep 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Lynn Heberling

Title

Office Manager

Phone

(757) 436-0026

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1265715601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 KEMPSVILLE RD",
            "address_2": "SUITE 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203701",
            "telephone_number": "757-436-0026",
            "fax_number": "757-547-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 KEMPSVILLE RD",
            "address_2": "SUITE 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203701",
            "telephone_number": "757-436-0026",
            "fax_number": "757-547-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. LETELLIER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "HEBERLING",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-436-0026",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0401006063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imani Omar Patterson
• Latricia A Patterson
• Marialaura C Paucar, NP
• Paul D Chidester MD Et Al
• Paul E. Prillaman, III, DDS, PLC
• Katherine Sue Paul, NP
• Paula G. Gravitt, LLC
• Michelle Marie Paulsen, D.O.
• Leah Paulson, M.S.ED., CCC-SLP
• Richard J Paver, DO

• Preferred Provider Organization in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Preferred Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.