Organization
PRIME ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS CANNON (RCM)
(757) 869-9916
Entity
Organization
Contact information
Practice address
1933 EDWIN DR STE 200, CHESAPEAKE, VA 23322-6531
(757) 547-2134
(757) 410-4765
Mailing address
3120 KILN CREEK PKWY, YORKTOWN, VA 23693-5648
(757) 327-4843
(757) 234-8891
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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