Organization
PRIME ORTHODONTICS PLLC
Active
Parent organization
PRIME ORTHODONTICS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME ORTHODONTICS PLLC
Authorized official
CHRIS CANNON (RCM)
(757) 869-9916
Entity
Organization
Contact information
Practice address
14701 LEE HWY, STE 107-108, CENTREVILLE, VA 20121
(757) 869-9916
(757) 898-4919
Mailing address
3120 KILN CREEK PKWY STE 9, YORKTOWN, VA 23693-5648
(757) 869-9916
(757) 898-4919
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up