Organization · Type 2 NPI

Eastern Virginia Pediatric Associates

Pediatric Dentistry · Norfolk, VA

NPI number 1215447115 Active

Practice location

1806 Hampton Blvd Ste A
Norfolk, VA 23517-1682

Fax (757) 627-2634

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	8103 (VA)

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.

Another provider at this address

Eastern Virginia Pediatric DentistryPediatric Dentistry Norfolk, VA NPI 1790297604

Other pediatric dentistry providers in Norfolk

See all in Norfolk →

NPI record

NPI: 1215447115
Entity type: Organization (Type 2)
Issued: Oct 5, 2017
Last updated: Oct 5, 2017
Status: Active
Subpart: Yes of Atlantic Dental Care, PLC

Other names

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A Division of Atlantic Dental Care · doing business as

Authorized official

Dr. Pamela A Morgan, DDS
Dentist
(757) 627-7550

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215447115

Eastern Virginia Pediatric Associates's National Provider Identifier is 1215447115, issued on Oct 5, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Norfolk, VA. The record was last updated on Oct 5, 2017.