PEDIATRIC DENTAL CARE OF TIDEWATER PC


Address: 5915 High Street West, Portsmouth, VA 23703
Phone: 7574848262

PEDIATRIC DENTAL CARE OF TIDEWATER PC (NPI# 1891915112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891915112
Entity Type Organization
Organization Name PEDIATRIC DENTAL CARE OF TIDEWATER PC
Practice Address 5915 High Street West
Portsmouth
VA 23703
Mailing Address 5915 High St W
Portsmouth
VA 23703-4505
Practice Telephone 7574848262
Practice Fax Number 7576383632
Mailing Telephone 7574848262
Mailing Fax Number 7576383632
Enumeration Date 2007-04-27
Last Update Date 2012-05-02
Authorized Official Name MORGAN TREY WEIS (OWNER)
Authorized Official Telephone 7574848262
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
0401410496 VA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM 249681 01
UNITED CONCORDIA 1702520 01

Office Location

Street Address 5915 HIGH STREET WEST
City PORTSMOUTH
State VA
Zip Code 23703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497905640 Roopa S Murthy Dentist 5915 High Street West, Suite 100, Portsmouth, VA 23703 2008-09-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174037444 Kelly Foster Massage Therapist 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 2017-11-25
1578072104 Katherine Armstrong Wise Behavior Technician 3120 Verne Ave, Portsmouth, VA 23703 2017-09-27
1891223913 Ashley Rebecca Anderson Dentist 5915 High Street W, Portsmouth, VA 23703 2017-06-02
1881126019 Anas Elmahdi Specialist 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 2017-03-28
1578003554 Elyse Buttery Nurse Practitioner Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 2017-02-24
1376948349 Charles Douglas Knight Military Health Care Provider Uss Maryland Ssbn 738, Fpo, AA 23703 2014-11-03
1689929382 Positive Connections, Inc Community/Behavioral Health 3823d Meherrin River Reach, Portsmouth, VA 23703 2012-07-18
1225319874 Sanaz Namin Pharmacist 5601 High Street, Porstmouth, VA 23703 2011-09-08
1295029767 Maggie Jackson Dental Hygienist 4000 Coast Guard Blvd., Portsmouth, VA 23703 2011-06-02
1679804892 Amy Kathleenn Gaspar Specialist/Technologist, Other 4113 Pendleton Rd, Portsmouth, VA 23703 2010-01-28
Find all providers in zip 23703

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851919989 Lavoie & Associates Dentist 31 King Charles Dr Ste D, Portsmouth, RI 02871-1448 2020-07-06
1891223913 Ashley Rebecca Anderson Dentist 5915 High Street W, Portsmouth, VA 23703 2017-06-02
1669636890 Jb Martin Iv Dds PC Dentist 730 High St, Portsmouth, VA 23704-3426 2008-07-16
1184849598 Dr. Keith Eveland Dentist 111 Bow Street, Portsmouth, NH 03801 2007-04-13
1235274812 Keith Ware Eveland Dentist 111 Bow St, Portsmouth, NH 03801-3838 2007-02-21
1114093937 Jb Martin Iv Dentist 446 Effingham St Fl 1, Portsmouth, VA 23704-3464 2006-11-24
1033192398 Morgan Trey Weis Dentist 5915 High St W, Portsmouth, VA 23703-4505 2005-11-21
1477534857 Viena Gerlaine Posada Dentist 1950 Lafayette Rd Ste 301, Portsmouth, NH 03801-8864 2005-11-10
1295960615 Friendly Faces Pediactric Dentistry Dentist 446 Effingham St, 1st Floor, Portsmouth, VA 23704-3416 2009-05-29
1407081268 Friendly Faces Pediatric Dentistry Dentist 446 Effingham St, 1st Floor, Portsmouth, VA 23704-3416 2009-05-22
Find all providers in PORTSMOUTH

Competitor

Search similar providers

City PORTSMOUTH
Zip Code 23703

Improve Information

Please comment or provide details below to improve the information on PEDIATRIC DENTAL CARE OF TIDEWATER PC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches