FRIENDLY FACES PEDIATRIC DENTISTRY NPI 1407081268

NPI Information

FRIENDLY FACES PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Portsmouth, VA. The provider is 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. FRIENDLY FACES PEDIATRIC DENTISTRY NPI is 1407081268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

446 EFFINGHAM ST
1ST FLOOR
PORTSMOUTH, VA
ZIP 23704-416
Phone: (757) 397-9801
Fax: (757) 397-9805

The provider's authorized official is Jb Martin .
The authorized official title is President and has the following contact phone number (757) 397-9801.

The enumeration date for this NPI number is 5/22/2009 and was last updated on 5/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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