COLISEUM PEDIATRIC DENTISTRY PLLC NPI 1467771766

NPI Information

COLISEUM PEDIATRIC DENTISTRY PLLC is a pediatric dentistry dentist in Hampton, 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. COLISEUM PEDIATRIC DENTISTRY PLLC NPI is 1467771766. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2113 HARTFORD RD STE C
HAMPTON, VA
ZIP 23666-575
Phone: (757) 838-0800
Fax: (757) 827-8532

The provider's authorized official is Grace O Davis .
The authorized official title is Business Administrator and has the following contact phone number (757) 369-1754.

The enumeration date for this NPI number is 5/26/2010 and was last updated on 5/29/2019.

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:

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