Individual
MARIELLA B CONNORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6224 PORTSMOUTH BLVD STE 300, PORTSMOUTH, VA 23701-1351
(757) 500-8500
Mailing address
2124 BIERCE DR, VIRGINIA BEACH, VA 23454-7217
(857) 654-2321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401418346
VA
1223P0221X
Pediatric Dentistry
20376
MA
1223P0221X
Pediatric Dentistry
DEN.00205516
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034440
NEIGHBORHOOD HEALTH PLAN
—
01
—
20376
DELTA DENTAL
—
01
—
AA20467
FIRST SENIORITY
—
01
—
X09081
DENTAL BLUE
—
Enumeration date
10/20/2005
Last updated
08/29/2025
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