| Prime Orthodontics Pllc | |
|
14701 Lee Hwy Ste 107-108 Centreville VA 20121 | |
| (757) 869-9916 | |
| (757) 898-4919 |
| Full Name | Prime Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 14701 Lee Hwy, Centreville, Virginia |
| Authorized Official Name and Position | Chris Cannon (RCM) |
| Authorized Official Contact | 7578699916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Orthodontics Pllc 3120 Kiln Creek Pkwy Ste 9 Yorktown VA 23693-5648 Ph: (757) 869-9916 | Prime Orthodontics Pllc 14701 Lee Hwy Ste 107-108 Centreville VA 20121 Ph: (757) 869-9916 |
| NPI Number | 1073482576 |
|---|---|
| Provider Enumeration Date | 11/03/2025 |
| Last Update Date | 11/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073482576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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