HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC (NPI# 1689047839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689047839 |
| Entity Type | Organization |
| Organization Name | HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC |
| Other Organization Name | YORKTOWN PEDIATRIC DENTISTRY |
| Practice Address |
7109 George Washington Mem Hwy Yorktown VA 23692-4842 |
| Mailing Address |
3120 Kiln Creek Pkwy Ste P Yorktown VA 23693-5648 |
| Practice Telephone | 7575982097 |
| 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 |
|---|---|
| Yorktown Pediatric Dentistry | Doing Business As Name - Organization |
| Yorktown 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 |
| 1639542814 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 6882 Main St, Gloucester, VA 23061-5163 | 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 |
7109 GEORGE WASHINGTON MEM HWY |
| City | YORKTOWN |
| State | VA |
| Zip Code | 23692-4842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114400884 | Mary Amanda Gray | Dietitian, Registered | 5306 Old Virginia Street, Urbanna, VA 23692 | 2018-09-10 |
| 1932687142 | Janice Stewart | Counselor | 3804 George Washington Mem Hwy, Yorktown, VA 23692 | 2018-07-31 |
| 1679063523 | Heritage Pharmacy LLC | Pharmacy | 5922b George Washington Mem Hwy, Yorktown, VA 23692 | 2018-05-16 |
| 1437655461 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 6500 George Washington Mem Hwy Ste C, Grafton, VA 23692 | 2018-03-30 |
| 1730571985 | Sentara Medical Group | Internal Medicine | 100 Enterprise Dr, Yorktown, VA 23692 | 2015-02-25 |
| 1427392315 | Anna Katherina Ristow | Specialist/Technologist | 9300 George Washington Ave, Yorktown, VA 23692 | 2012-11-16 |
| 1225340714 | Jamie Banuski | Voluntary or Charitable | 7307 George Washington Mem Hwy, Pmb511, Yorktown, VA 23692 | 2010-07-13 |
| 1174719793 | Grafton Smile Care | Clinic/Center | 4030 - A George Washington Hwy, Grafton, VA 23692 | 2007-09-18 |
| 1497949713 | Sayward E. Duggan Dds Ms PC | Clinic/Center | 4310 George Washington Memorial Highway, Yorktown, VA 23692 | 2007-08-29 |
| 1679691307 | Carol A. Pittman | Dentist | 4310 George Washington Hwy, Yorktown, VA 23692 | 2007-03-27 |
| Find all providers in zip 23692 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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| 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.