Tracy L. Waddell
Dental Hygienist
1647 Admiral Taussig Blvd
Norfolk
, Virginia 23511
Tracy L. Waddell
Dental Hygienist
1647 Admiral Taussig Blvd
Norfolk
, Virginia 23511
(757) 953-8547
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Tracy L. Waddell
- 1647 Admiral Taussig Blvd
- Norfolk, VA
- Zip : 23511
- Phone : (757) 953-8547
Second Address
- Tracy L. Waddell
- 1647 Admiral Taussig Blvd
- Norfolk, VA
- Zip : 23511
- Phone : (757) 953-8547
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 0402003311 | VA |
National Provider Identifier
| NPI | 1013162502 |
|---|---|
| Provider Name | Tracy L. Waddell |
| First Address | Norfolk, VA 23511 |
| Second Address | Norfolk, VA 23511 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/11/2008 |
| Last Update Date | 25/11/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.