# BRENDON E. PRESTWICH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Super Smiles 4 Kids
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194592717
- **Authorized official:** DR. BRENDON PRESTWICH DDS (PRESIDENT)
- **Authorized official phone:** (505) 358-8681

## Contact information

- **Practice address:** 6224 PORTSMOUTH BLVD STE 300, PORTSMOUTH, VA 23701-1351
- **Practice address phone:** (757) 500-8500
- **Mailing address:** 1370 LITTLE NECK RD, VIRGINIA BEACH, VA 23452-4719
- **Mailing address phone:** (505) 358-8681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2023
- **Last updated:** 12/04/2023