| Hampton Roads Pediatric Dentistry And Orthodontics, Pllc | |
|
6882 Main St Gloucester VA 23061-5163 | |
| (804) 695-2575 | |
| (804) 695-2815 |
| Full Name | Hampton Roads Pediatric Dentistry And Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6882 Main St, Gloucester, 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 6882 Main St Gloucester VA 23061-5163 Ph: (804) 695-2575 |
| NPI Number | 1639542814 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 04/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639542814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401412905 (Virginia) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 0401410912 (Virginia) | 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 | |
Vedros Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7115 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 315-410-5531 |