| Courthouse Pediatric Dentistry Pllc | |
| 
					6750 Main St Gloucester VA 23061-5517  | |
| (804) 695-2575 | |
| (804) 695-2815 | 
| Full Name | Courthouse Pediatric Dentistry Pllc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 6750 Main St, Gloucester, Virginia | 
| Authorized Official Name and Position | Chris L Cannon (RCM) | 
| Authorized Official Contact | 8046952575 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Courthouse Pediatric Dentistry Pllc 6750 Main St Gloucester VA 23061-5517 Ph: (804) 695-2575  | Courthouse Pediatric Dentistry Pllc 6750 Main St Gloucester VA 23061-5517 Ph: (804) 695-2575  | 
| NPI Number | 1790573731 | 
|---|---|
| Provider Enumeration Date | 04/29/2025 | 
| Last Update Date | 04/29/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790573731 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
Daniel E Pouchot, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5659 Parkway Dr, Suite 140, Gloucester, VA 23061 Phone: 804-332-3000  | |
Timothy A. Leigh,d.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6661 Main St, Gloucester, VA 23061 Phone: 804-693-2575 Fax: 804-694-5235  | |
Ann L Lagonegro Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6093 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-693-9600 Fax: 804-693-7447  | |
W. Heath Allen Jr. Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6882 Main Street, A, Gloucester, VA 23061 Phone: 804-695-2575 Fax: 807-469-5281  | |
Prime Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6750 Main St, Gloucester, VA 23061 Phone: 757-327-4843 Fax: 757-234-8891  | |
Hampton Roads Pediatric Dentistry And Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6882 Main St, Gloucester, VA 23061 Phone: 804-695-2575 Fax: 804-695-2815  | |
Vedros Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7115 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 315-410-5531  |