Organization
PORTSMOUTH PEDIATRIC DENTISTRY PLLC
Active
Other names
FFPD
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS L CANNON (RCM)
(757) 397-9801
Entity
Organization
Contact information
Practice address
446 EFFINGHAM ST STE 400, PORTSMOUTH, VA 23704-3464
(757) 397-9801
(757) 397-9805
Mailing address
446 EFFINGHAM ST STE 400, PORTSMOUTH, VA 23704-3464
(757) 397-9801
(757) 397-9805
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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