Organization · Type 2 NPI

Pediatric Dental Care of Tidewater PC

Pediatric Dentistry · Portsmouth, VA

NPI number 1891915112 Active

Practice location

5915 High Street West
Portsmouth, VA 23703

Call (757) 484-8262 Map

Fax (757) 638-3632

Mailing address

5915 High St W
Portsmouth, VA 23703-4505

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X0401410496 (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.

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About NPI 1891915112

Pediatric Dental Care of Tidewater PC's National Provider Identifier is 1891915112, issued on Apr 27, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portsmouth, VA. The record was last updated on Jan 3, 2025.