Provider Demographics
NPI:1063534667
Name:HELVEY, GREGG A (DDS, LTD)
Entity type:Individual
Prefix:DR
First Name:GREGG
Middle Name:A
Last Name:HELVEY
Suffix:
Gender:M
Credentials:DDS, LTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 372
Mailing Address - Street 2:14 W. MARSHALL STREET
Mailing Address - City:MIDDLEBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20118-0372
Mailing Address - Country:US
Mailing Address - Phone:540-687-5855
Mailing Address - Fax:540-687-5857
Practice Address - Street 1:14 W. MARSHALL ST.
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:VA
Practice Address - Zip Code:20117
Practice Address - Country:US
Practice Address - Phone:540-687-5855
Practice Address - Fax:540-687-5857
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA52701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice