COLISEUM PEDIATRIC DENTISTRY SURGERY CENTER NPI 1700631801

NPI Information

  • NPI: 1700631801
  • Provider Name: COLISEUM PEDIATRIC DENTISTRY SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 2113 HARTFORD RD
    HAMPTON, VA
    ZIP 23666
  • Phone: (757) 327-7843

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NPI Details

COLISEUM PEDIATRIC DENTISTRY SURGERY CENTER is an ambulatory surgical clinic center in Hampton, VA. COLISEUM PEDIATRIC DENTISTRY SURGERY CENTER NPI is 1700631801. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2113 HARTFORD RD
HAMPTON, VA
ZIP 23666-575
Phone: (757) 327-7843

The provider's authorized official is Chris Cannon .
The authorized official title is Rcm and has the following contact phone number (757) 327-4843.

The enumeration date for this NPI number is 4/22/2024 and was last updated on 4/22/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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