Pediatric Dental Care Of Tidewater Pc is a Pediatric Dental Clinic in Portsmouth, Virginia. It is located at 5915 High Street West, Portsmouth, VA and its contact number is 757-484-8262. The authorized person for Pediatric Dental Care Of Tidewater Pc is Morgan Trey Weis
who is Owner of the clinic and their contact number is 757-484-8262. The primary license number for Pediatric Dental Care Of Tidewater Pc is 0401410496 (Pediatric Dentistry) in Virginia. Pediatric Dental Care Of Tidewater Pc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pediatric Dental Care Of Tidewater Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pediatric Dental Care Of Tidewater Pc
Specialization:
Pediatric Dentistry
Clinic Address:
5915 High Street West, Portsmouth, Virginia, 23703
Phone:
757-484-8262
Fax:
757-638-3632
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Morgan Trey Weis
Position:
Owner
Contact Number:
757-484-8262
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pediatric Dental Care Of Tidewater Pc clinic are as mentioned below.
NPI Number:
1891915112
NPI Enumeration Date:
27 Apr, 2007
NPI Last Update On:
02 May, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dental Care Of Tidewater Pc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
0401410496
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
249681
Other
Anthem
1702520
Other
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pediatric Dental Care Of Tidewater Pc 5915 High St W, Portsmouth, Virginia
Zip:
23703-4505
Phone Number:
757-484-8262
Fax Number:
757-638-3632
Patients can reach Pediatric Dental Care Of Tidewater Pc at 5915 High Street West, Portsmouth, Virginia or can call to book an appointment on 757-484-8262. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.