Dr Robert Iervolino DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

0401004434 Issued in VA

Legal business name

DR ROBERT IERVOLINO DDS PC

Practice address

987 Providence Square
Virginia Beach, VA 23464-4301

Phone

(757) 495-2100

Fax

(757) 495-1153

NPI assigned

Feb 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Allen Iervolino, DDSNPI 1518154392

Title

President

Phone

(757) 495-2100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert A Iervolino, DDS

  • Dentist
  • Virginia Beach, VA
  • NPI 1518154392
  NPD (past) Authorized official
• Paul M Hamilton, DDS

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1891981312
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982730347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 PROVIDENCE SQUARE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644301",
            "telephone_number": "757-495-2100",
            "fax_number": "757-495-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 PROVIDENCE SQUARE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644301",
            "telephone_number": "757-495-2100",
            "fax_number": "757-495-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT IERVOLINO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IERVOLINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-495-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401004434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Adam M. Hogan D.D.S.,PC

• Dentist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.