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Organization

CHESAPEAKE PEDIATRIC DENTISTRY PLLC

Active
Other names
HPD
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS L CANNON (RCM)
(757) 547-2134
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary

Other

Enumeration date
04/29/2025
Last updated
04/29/2025
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