Organization
PENINSULA PEDIATRIC DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE O DAVIS (BUSINESS ADMINISTRATOR)
(757) 369-1754
Entity
Organization
Contact information
Practice address
220 NAT TURNER BOULEVARD S, NEWPORT NEWS, VA 23606
(757) 240-5711
(757) 240-4939
Mailing address
220 NAT TURNER BOULEVARD S, NEWPORT NEWS, VA 23606
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410912
VA
Other
Enumeration date
05/17/2007
Last updated
05/29/2019
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