Pediatric Dental Care Of Tidewater Pc in Portsmouth - Pediatric Dentistry
Pediatric Dental Care Of Tidewater Pc - NPI 1891915112
Pediatric Dental Care Of Tidewater Pc is a Pediatric Dentistry in Portsmouth, Virginia. Pediatric Dental Care Of Tidewater Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Care Of Tidewater Pc is 1891915112. The last update date is 2012-05-02.
Pediatric Dental Care Of Tidewater Pc's current location address is 5915 High St W, Portsmouth, Virginia. You can contact this provider via phone number 7574848262 and fax number 7576383632. The mailing address for Pediatric Dental Care Of Tidewater Pc is 5915 High St W, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dental Care Of Tidewater Pc |
|---|---|
| Address | 5915 High St W, Portsmouth, Virginia |
| Phone Number | 7574848262 |
| Fax Number | 7576383632 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Weis Trey Morgan |
| Telephone Number | 7574848262 |
NPI Number Detail
| NPI Number | 1891915112 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2012-05-02 |
Provider Mailing Address Detail
| Address | 5915 High St W |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237034505 |
| Phone Number | 7574848262 |
| Fax Number | 7576383632 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 401410496 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 249681 | ANTHEM | ||
| 1702520 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pediatric Dental Care Of Tidewater Pc?
The Pediatric Dental Care Of Tidewater Pc has been issued the NPI (National Provider Identifier) 1891915112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pediatric Dental Care Of Tidewater Pc?
The Pediatric Dental Care Of Tidewater Pc is physically situated at 5915 High St W, in the city of Portsmouth, state of VA, with the postal code 237034505.
What is Pediatric Dental Care Of Tidewater Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pediatric Dental Care Of Tidewater Pc is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Pediatric Dental Care Of Tidewater Pc receive the assignment of its 1891915112 from the Centers for Medicare & Medicaid Services?
The Pediatric Dental Care Of Tidewater Pc was issued its 1891915112 by the Centers for Medicare & Medicaid Services on 2007-04-27.
When was the information regarding Pediatric Dental Care Of Tidewater Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pediatric Dental Care Of Tidewater Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-02.
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