WOODSIDE PEDIATRIC DENTISTRY
NPI 1154467249
Dentist - Pediatric Dentistry in Warrenton, VA

Active since January 29, 2007
400 HOLIDAY CT, SUITE 107, WARRENTON, VA 20186(540) 341-0014(540) 341-0303 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Woodside Pediatric Dentistry NPPES

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

WOODSIDE PEDIATRIC DENTISTRY (NPI 1154467249) is a healthcare organization registered as a pediatric dentistry in Warrenton, Virginia and active in the NPI registry since January 2007. The organization lists Jennifer L. Woodside, Dentist, as its authorized official.

NPPES Registry Identity

NPI1154467249
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWOODSIDE PEDIATRIC DENTISTRY
Location Address400 HOLIDAY CT, SUITE 107Warrenton, VA 20186-4349
Mailing Address400 Holiday Ct, Suite 107Warrenton, VA 20186-4349 · (540) 341-0014 · Fax (540) 341-0303
Fax(540) 341-0303
Organization SubpartNo
Authorized OfficialJennifer L. WoodsideDentist · (540) 341-0014
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJune 16, 2008
NPI 1154467249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in VA · 0401411006
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.
400 HOLIDAY CT, Warrenton, VA 20186

Other Identifiers 3

Other1777507VA · United Concordia
Other186781VA · Anthem Dental
Medicaid107966VA

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 Woodside Pediatric Dentistry's NPI number?

The NPI number for Woodside Pediatric Dentistry is 1154467249. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Woodside Pediatric Dentistry located?

Woodside Pediatric Dentistry is located at 400 Holiday Ct Suite 107, Warrenton, VA 20186. The listed phone number is (540) 341-0014.

What is Woodside Pediatric Dentistry'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 Woodside Pediatric Dentistry was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.