| Chesapeake Pediatric Dentistry Pllc | |
|
1933 Edwin Dr Ste 200 Chesapeake VA 23322-6531 | |
| (757) 547-2134 | |
| (757) 410-4765 |
| Full Name | Chesapeake Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1933 Edwin Dr Ste 200, Chesapeake, Virginia |
| Authorized Official Name and Position | Chris L Cannon (RCM) |
| Authorized Official Contact | 7575472134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Pediatric Dentistry Pllc 1933 Edwin Dr Ste 200 Chesapeake VA 23322-6531 Ph: (757) 547-2134 | Chesapeake Pediatric Dentistry Pllc 1933 Edwin Dr Ste 200 Chesapeake VA 23322-6531 Ph: (757) 547-2134 |
| NPI Number | 1447048483 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447048483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
Dr Daniel M Etheridge Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1059 Eden Way N Ste 100, Chesapeake, VA 23320 Phone: 757-547-2266 | |
Dr Darrell L Boyce Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1711 Parkview Drive, Chesapeake, VA 23320 Phone: 757-424-6580 Fax: 757-424-3804 | |
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