Restore Dental Center of Hampton Roads

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RESTORE DENTAL CENTER OF HAMPTON ROADS

Doing business as

ReStore Dental

Practice address

223 E City Hall Ave
Norfolk, VA 23510-1724

Phone

(757) 490-7866

NPI assigned

Dec 27, 2021

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

AUGUST HOLDING CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Shane August

Title

President

Phone

(757) 490-7866

Specialties & licenses 1

Addresses

Other names 1

• ReStore Dental Doing business as

Locations

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1851051320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLUMBUS CTR STE 600",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626760",
            "telephone_number": "757-490-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E CITY HALL AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101724",
            "telephone_number": "757-490-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE DENTAL CENTER OF HAMPTON ROADS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUGUST HOLDING CORPORATION",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "AUGUST",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-490-7866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReStore Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Retina & Vitreous Center PC (Wagner Kapoor Institute)
• Retina Group of Tidewater PC
• Retinal Consultants Inc (mark j mccarthy md)
• Christopher Raphael Rettenmaier, MD
• Nicholas Battista Rettenmaier, MD

• General Practice Dentistry in Norfolk, VA
• Providers in Norfolk, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.