Peninsula Pediatric Dentistry, P.C. in Newport News - Pediatric Dentistry

Peninsula Pediatric Dentistry, P.C. - NPI 1548477649

Peninsula Pediatric Dentistry, P.C. is a Pediatric Dentistry in Newport News, Virginia. Peninsula Pediatric Dentistry, P.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Peninsula Pediatric Dentistry, P.C. is 1548477649. The last update date is 2019-05-29.

Peninsula Pediatric Dentistry, P.C.'s current location address is 220 Nat Turner Boulevard S, Newport News, Virginia. You can contact this provider via phone number 7572405711 and fax number 7572404939. The mailing address for Peninsula Pediatric Dentistry, P.C. is 220 Nat Turner Boulevard S, Newport News, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Peninsula Pediatric Dentistry, P.C.
Address 220 Nat Turner Boulevard S, Newport News, Virginia
Phone Number 7572405711
Fax Number 7572404939
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS A
Authorized Official Name Davis O Grace
Telephone Number 7573691754

NPI Number Detail

NPI Number 1548477649
Provider Enumeration Date 2007-05-17
Last Updated Date 2019-05-29

Provider Mailing Address Detail

Address 220 Nat Turner Boulevard S
City Newport News
State Virginia (VA)
Post Code 23606
Phone Number 7572405711
Fax Number 7572404939

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 401410912
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Peninsula Pediatric Dentistry, P.C.

What is the unique identification code assigned to Peninsula Pediatric Dentistry, P.C. by the Centers for Medicare & Medicaid Services?

The Peninsula Pediatric Dentistry, P.C. has been issued the NPI (National Provider Identifier) 1548477649. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Peninsula Pediatric Dentistry, P.C. is located?

The Peninsula Pediatric Dentistry, P.C. is situated at the following address: 220 Nat Turner Boulevard S, Newport News, VA, 23606.

What is Peninsula Pediatric Dentistry, P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Peninsula Pediatric Dentistry, P.C. is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1548477649 to Peninsula Pediatric Dentistry, P.C.?

The Centers for Medicare & Medicaid Services assigned the 1548477649 to Peninsula Pediatric Dentistry, P.C. on 2007-05-17.

When was the information regarding Peninsula Pediatric Dentistry, P.C. most recently updated?

The details pertaining to the Peninsula Pediatric Dentistry, P.C., including its address, specialty, and other relevant information, were last refreshed on 2019-05-29.

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