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Organization
COASTAL PEDIATRIC DENTAL & ANESTHESIA, A DIVISION OF ATLANTIC DENTAL CARE
Active
Organization
COASTAL PEDIATRIC DENTAL & ANESTHESIA, A DIVISION OF ATLANTIC DENTAL CARE
Active
Parent organization
ATLANTIC DENTAL CARE, PLC
Other names
Coastal Pediatric Dental & Anesthesia, Jillian Reynolds DDS & Jonathan L Wong, DMD PLLC, A Division of Atlantic Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC DENTAL CARE, PLC
Authorized official
JONATHAN L WONG DMD (DENTIST)
(757) 963-0001
Entity
Organization
Contact information
Practice address
6161 KEMPSVILLE CIR STE 345, NORFOLK, VA 23502-3950
(757) 963-0001
(757) 961-9988
Mailing address
6161 KEMPSVILLE CIR STE 345, NORFOLK, VA 23502-3950
(757) 963-0001
(757) 961-9988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223D0004X
Dental Anesthesiology
—
NULL
1223D0004X
Dental Anesthesiology
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
03/01/2024
Last updated
03/24/2026
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