PENINSULA PEDIATRIC DENTISTRY P.C. NPI 1548477649

NPI Information

PENINSULA PEDIATRIC DENTISTRY, P.C. is a pediatric dentistry dentist in Newport News, 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. PENINSULA PEDIATRIC DENTISTRY, P.C. NPI is 1548477649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 NAT TURNER BOULEVARD S
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 240-5711
Fax: (757) 240-4939

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 5/17/2007 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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