| Hampton Roads Pediatric Dentistry And Orthodontics, Pllc | |
|
446 Effingham St Portsmouth VA 23704-3464 | |
| (757) 325-9959 | |
| Not Available |
| Full Name | Hampton Roads Pediatric Dentistry And Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 446 Effingham St, Portsmouth, Virginia |
| Authorized Official Name and Position | Grace O Davis (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 7573691754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Roads Pediatric Dentistry And Orthodontics, Pllc 3120 Kiln Creek Pkwy Ste P Yorktown VA 23693-5648 Ph: (757) 369-1754 | Hampton Roads Pediatric Dentistry And Orthodontics, Pllc 446 Effingham St Portsmouth VA 23704-3464 Ph: (757) 325-9959 |
| NPI Number | 1174996359 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 04/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174996359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401412905 (Virginia) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 0401410912 (Virginia) | Primary |
Portsmouth Pediatric Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 446 Effingham St Ste 400, Portsmouth, VA 23704 Phone: 757-397-9801 Fax: 757-397-9805 | |
Morrison Dental Group Portsmouth Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Rodman Ave, Portsmouth, VA 23707 Phone: 757-397-3296 Fax: 757-397-0893 | |
Steven L Lang Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6224 Portsmouth Blvd, Suite 200, Portsmouth, VA 23701 Phone: 757-488-8884 | |
Michael Edenfield, Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6263 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-488-1285 Fax: 757-465-9132 | |
Brendon E. Prestwich, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6224 Portsmouth Blvd Ste 300, Portsmouth, VA 23701 Phone: 757-500-8500 | |
Childrens Dental World Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6224 Portsmouth Blvd, Suite 300, Portsmouth, VA 23701 Phone: 757-337-0451 |