Jack Mavromatis, D.D.S

NPI 1508124462 · on the registry since 2012 · sole proprietor

Practice

Address: 2248 Sunstates Ct
Suite 103
Virginia Beach, VA 23451
Phone: (757) 496-9123
Fax: (757) 496-2083
Organisation at this address: Jack Mavromatis Dds, Ltd.
Jack Mavromatis, Dds, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia