Organization
COURTHOUSE PEDIATRIC DENTISTRY PLLC
Active
Other names
Gloucester PD
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS L CANNON (RCM)
(804) 695-2575
Entity
Organization
Contact information
Practice address
6750 MAIN ST, GLOUCESTER, VA 23061-5517
(804) 695-2575
(804) 695-2815
Mailing address
6750 MAIN ST, GLOUCESTER, VA 23061-5517
(804) 695-2575
(804) 695-2815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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