# CHESAPEAKE PEDIATRIC DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HPD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447048483
- **Authorized official:** CHRIS L CANNON (RCM)
- **Authorized official phone:** (757) 547-2134

## Contact information

- **Practice address:** 1933 EDWIN DR STE 200, CHESAPEAKE, VA 23322-6531
- **Practice address phone:** (757) 547-2134
- **Practice address fax:** (757) 410-4765
- **Mailing address:** 1933 EDWIN DR STE 200, CHESAPEAKE, VA 23322-6531
- **Mailing address phone:** (757) 547-2134
- **Mailing address fax:** (757) 410-4765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2025
- **Last updated:** 04/29/2025