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FUN PARK PEDIATRIC DENTISTRY
NPI 1043842214
Dentist - Pediatric Dentistry in Suffolk, VA

Active since February 06, 2020
1009 CENTERBROOKE LN STE 210, SUFFOLK, VA 23434(757) 767-7275 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2020, Mar 4, 2020, Feb 6, 2020 (3 updates tracked since 2020).

About Fun Park Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUN PARK PEDIATRIC DENTISTRY (NPI 1043842214) is a healthcare organization registered as a pediatric dentistry in Suffolk, Virginia and active in the NPI registry since February 2020. The organization lists Olanrewaju Oye-somefun, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1043842214
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFUNPEDOPARK LLC
Location Address1009 CENTERBROOKE LN STE 210Suffolk, VA 23434-8664
Mailing Address1009 Centerbrooke Ln Ste 210Suffolk, VA 23434-8664 · (757) 767-7275
Phone(757) 767-7275
Organization SubpartNo
Authorized OfficialOlanrewaju Oye-somefunPediatric Dentist · (757) 767-7275
Enumeration DateFebruary 6, 2020
Last NPPES UpdateSeptember 16, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1043842214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
1009 CENTERBROOKE LN STE 210, Suffolk, VA 23434
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Other Names 1

Doing Business AsFun Park Pediatric Dentistry

Other Identifiers 1

Other0401416127VA · Dental License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Funpedopark LLC's NPI number?

The NPI number for Funpedopark LLC is 1043842214. It was assigned to this organization in the NPPES registry on February 6, 2020. The provider is doing business as Fun Park Pediatric Dentistry.

Where is Funpedopark LLC located?

Funpedopark LLC is located at 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434. The listed phone number is (757) 767-7275.

What is Funpedopark LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Funpedopark LLC was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.