MARYBETH FASANO DMD PC
NPI 1194905539
Clinic/Center - Dental in Virginia Beach, VA

Active since November 13, 2007
984 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 23454(757) 412-2235(757) 412-2237 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marybeth Fasano Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYBETH FASANO DMD PC (NPI 1194905539) is a healthcare organization registered as a dental in Virginia Beach, Virginia and active in the NPI registry since November 2007. The organization lists Shana D Randolph, Insurance/financial Coordinator, as its authorized official.

NPPES Registry Identity

NPI1194905539
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMARYBETH FASANO DMD PC
Location Address984 FIRST COLONIAL RD, SUITE 200Virginia Beach, VA 23454-3196
Mailing Address984 First Colonial Rd, Suite 200Virginia Beach, VA 23454-3196 · (757) 412-2235 · Fax (757) 412-2237
Fax(757) 412-2237
Organization SubpartNo
Authorized OfficialShana D RandolphInsurance/financial Coordinator · (757) 412-2235
Enumeration DateNovember 13, 2007
NPI 1194905539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in VA · 0401008908
984 FIRST COLONIAL RD, Virginia Beach, VA 23454

Other Identifiers 2

Other153899VA · Anthem
Other980759VA · United Concordia

Accepted Insurance

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
984 FIRST COLONIAL RD, SUITE 300
VIRGINIA BEACH, VA 23454
Specialist
984 FIRST COLONIAL RD, SUITE 302
VIRGINIA BEACH, VA 23454
Clinic/Center (Dental)
984 FIRST COLONIAL RD, SUITE 101
VIRGINIA BEACH, VA 23454
Specialist
984 FIRST COLONIAL RD, SUITE 302
VIRGINIA BEACH, VA 23454
Audiologist
984 FIRST COLONIAL RD, STE 302
VIRGINIA BEACH, VA 23454
Dentist
984 FIRST COLONIAL RD, SUITE 200
VIRGINIA BEACH, VA 23454
Specialist
984 FIRST COLONIAL RD, SUITE 302
VIRGINIA BEACH, VA 23454
Audiologist
984 FIRST COLONIAL RD, SUITE 302
VIRGINIA BEACH, VA 23454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marybeth Fasano Dmd PC's NPI number?

The NPI number for Marybeth Fasano Dmd PC is 1194905539. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Marybeth Fasano Dmd PC located?

Marybeth Fasano Dmd PC is located at 984 First Colonial Rd Suite 200, Virginia Beach, VA 23454. The listed phone number is (757) 412-2235.

What is Marybeth Fasano Dmd PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Marybeth Fasano Dmd PC accept?

Health plans from UnitedHealthcare list Marybeth Fasano Dmd PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marybeth Fasano Dmd PC was last updated on November 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.