HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC (NPI# 1639542814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639542814 |
| Entity Type | Organization |
| Organization Name | HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC |
| Other Organization Name | GLOUCESTER PEDIATRIC DENTISTRY AND BEHL ORTHODONTICS |
| Practice Address |
6882 Main St Gloucester VA 23061-5163 |
| Mailing Address |
3120 Kiln Creek Pkwy Ste P Yorktown VA 23693-5648 |
| Practice Telephone | 8046952575 |
| Practice Fax Number | 8046952815 |
| Mailing Telephone | 7573691754 |
| Mailing Fax Number | 7572348891 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | GRACE O DAVIS (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 7573691754 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401412905 | VA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401410912 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Courthouse Pediatric Dentistry | Doing Business As Name - Organization |
| Gloucester Pediatric Dentistry and Behl Orthodontics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366815540 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 1029 W Mercury Blvd, Hampton, VA 23666-3406 | 2015-11-10 |
| 1346613528 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 237 Hanbury Rd E Ste 30, Chesapeake, VA 23322-6622 | 2015-11-10 |
| 1689047839 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 7109 George Washington Mem Hwy, Yorktown, VA 23692-4842 | 2015-11-10 |
| 1174996359 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 446 Effingham St, Portsmouth, VA 23704-3464 | 2015-11-10 |
| 1588036602 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 110 Kingsley Ln, Ste. 403, Norfolk, VA 23505-4614 | 2015-10-28 |
| 1265823272 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 220 Nat Turner Blvd S, Newport News, VA 23606-2998 | 2015-02-12 |
| Street Address |
6882 MAIN ST |
| City | GLOUCESTER |
| State | VA |
| Zip Code | 23061-5163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962754754 | Zachary Kenneth Earl Smith | Social Worker | 6882 Main St, Gloucester, VA 23061-5163 | 2012-10-04 |
| 1588053359 | Candice Alicia Parkins | Nurse Practitioner | 6882 Main St, Suite C, Gloucester, VA 23061-5163 | 2015-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087546 | Connex Family Services | Behavioral Analyst | 6948 Main Street Ste. 12, Gloucester, VA 23061 | 2018-03-19 |
| 1699278820 | Blake Steagall | Counselor | 7296 York Avenue, Gloucester, VA 23061 | 2018-03-14 |
| 1982103941 | Cathyrn Fields Radford | Speech-Language Pathologist | Page Middle School, 5198 T. C. Walker Road, Gloucester, VA 23061 | 2018-02-06 |
| 1326558727 | Home Care Associates LLC | Technician | 6812 Teagle Lane, Unit 1, Gloucester, VA 23061 | 2017-10-11 |
| 1154847176 | Thorpe Counseling Center | Social Worker | 6486 Main Street, Suite 10, Gloucester, VA 23061 | 2017-08-22 |
| 1215473715 | Christina Vickers | Prevention Professional | 7824 Windy Hill Road, Gloucester, VA 23061 | 2017-01-09 |
| 1487084372 | Debra Leigh Ottarson | Pharmacist | 6634 Jarvis Road, Gloucester, VA 23061 | 2013-11-14 |
| 1114170446 | Riverside Physician Services Inc | Psychiatry & Neurology | 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 | 2008-10-30 |
| 1881846087 | Nine Palms 1, LLC | Home Health | 6606 Main St, Gloucester, VA 23061 | 2008-10-21 |
| 1396909867 | Sandra B Buchheister | Physical Therapist | 6965 Fox Hunt Lane, Suite 201, Gloucester, VA 23061 | 2008-07-15 |
| Find all providers in zip 23061 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376727982 | W. Heath Allen Jr. Dds | Dentist | 6882 Main Street, A, Gloucester, VA 23061 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998878 | Nadgie Ortiz Diaz Dmd Pllc | Dentist | 24560 Southpoint Dr Ste 240, Aldie, VA 20105-3505 | 2020-09-24 |
| 1154948289 | Cardinal Pediatric Dentistry Pllc | Dentist | 11551 Nuckols Rd Ste H, Glen Allen, VA 23059-5565 | 2020-07-06 |
| 1043842214 | Funpedopark LLC | Dentist | 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434-8664 | 2020-02-06 |
| 1861023251 | Bitty Bites Pediatric Dentistry Inc. | Dentist | 11600 Busy St Ste 101, North Chesterfield, VA 23236-4066 | 2020-02-04 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1770149742 | Noeen Arshad | Dentist | 129 University Blvd Ste A, Harrisonburg, VA 22801-3751 | 2019-05-15 |
| 1609353499 | Prachi Chandalia | Dentist | 609 E Monroe Ave, Alexandria, VA 22301-3020 | 2018-07-24 |
| 1255817730 | Fusion Dental | Dentist | 1401 Chain Bridge Rd, Mc Lean, VA 22101-6026 | 2018-07-17 |
| 1952897050 | Danielle Miller | Dentist | 11934 W Broad St Ste 120, Henrico, VA 23233-1100 | 2018-07-02 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 23061 |
Please comment or provide details below to improve the information on HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.