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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEDIATRIC DENTAL CARE OF TIDEWATER PC

Active Organization

PEDIATRIC DENTAL CARE OF TIDEWATER PC is a Pediatric Dentistry organization located in PORTSMOUTH, Virginia. NPI 1891915112 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PORTSMOUTH, VA

Registration Details

NPI Number
1891915112
Provider Type
Organization
NPI Issued
Apr 27, 2007 (19.332616085071 yrs)
Last Updated
Jan 3, 2025
License
0401410496 (VA)

Practice Information

Address
5915 HIGH STREET WEST
PORTSMOUTH, VA, 23703
Browse VA providers · Browse ZIP 23703
Phone
7574848262
Fax
7576383632
Primary Specialty
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.