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EASTERN VIRGINIA PEDIATRIC DENTISTRY NPI 1790297604


NPI Information

NPI: 1790297604
Provider Name: EASTERN VIRGINIA PEDIATRIC DENTISTRY

Doing Business As: A DIVISION OF ATLANTIC DENTAL CARE

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1806 HAMPTON BLVD STE A
NORFOLK, VA
ZIP 23517
Phone: (757) 627-7550
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EASTERN VIRGINIA PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Norfolk, 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. EASTERN VIRGINIA PEDIATRIC DENTISTRY NPI is 1790297604. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As A Division Of Atlantic Dental Care.

The provider's business location address is:

1806 HAMPTON BLVD STE A
NORFOLK, VA
ZIP 23517-682
Phone: (757) 627-7550
Fax: (757) 627-2634

The provider's authorized official is Pamela Ann Morgan .
The authorized official title is Dentist and has the following contact phone number (757) 627-7550.

The enumeration date for this NPI number is 11/1/2017 and was last updated on 11/1/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry0401008103VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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