1. Home
  2. Directory
  3. Virginia
  4. Norfolk
  5. Dentist
  6. NPI Profile

COASTAL PEDIATRIC DENTAL & ANESTHESIA, PLLC
NPI 1184155962
Dentist - Dentist Anesthesiologist in Norfolk, VA

Active since March 23, 2017
6161 KEMPSVILLE CIR, SUITE 345, NORFOLK, VA 23502(602) 799-1748 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2026, Jul 31, 2017, Mar 23, 2017 (3 updates tracked since 2017).

About Coastal Pediatric Dental & Anesthesia, Pllc NPPES

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

COASTAL PEDIATRIC DENTAL & ANESTHESIA, PLLC (NPI 1184155962), doing business as Coastal Pediatric Dental & Anesthesia, is a healthcare organization registered as a dentist anesthesiologist in Norfolk, Virginia and active in the NPI registry since March 2017. The organization lists Jonathan L Wong, Owner, as its authorized official.

NPPES Registry Identity

NPI1184155962
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameCOASTAL PEDIATRIC DENTAL & ANESTHESIA, PLLC
Location Address6161 KEMPSVILLE CIR, SUITE 345Norfolk, VA 23502-3932
Mailing Address303 55th St Unit AVirginia Beach, VA 23451-2213 · (602) 799-1748
Phone(602) 799-1748
Organization SubpartNo
Authorized OfficialJonathan L WongOwner · (757) 963-0001
Enumeration DateMarch 23, 2017
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1184155962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License✔ Licensed in VA · 0447000045
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Also ListedDentistTaxonomy 122300000X · License 0401414467 (VA)
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 0401413751 (VA)
6161 KEMPSVILLE CIR, Norfolk, VA 23502
Open in Google Maps ↗

Other Names 2

Doing Business AsCoastal Pediatric Dental & Anesthesia
Former Legal Business NameJillian Reynolds, Dds & Jonathan L Wong, Dmd , Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARMISTEAD D. WILLIAMS M.D.
Psychiatry & Neurology (Neurology)
6161 KEMPSVILLE CIR, SUITE 315
NORFOLK, VA 23502
Norfolk City (757) 461-5400
SENTARA MEDICAL GROUP
Durable Medical Equipment & Medical Supplies
6161 KEMPSVILLE CIR, SUITE 215
NORFOLK, VA 23502
Norfolk City (757) 466-3950
DR. MARK JOSEPH MCCARTHY M.D.
Specialist
6161 KEMPSVILLE CIR, SUITE 215
NORFOLK, VA 23502
Norfolk City (757) 455-9603
DR. MARCUS C RICE M.D.
Psychiatry & Neurology (Neurology)
6161 KEMPSVILLE CIR, SUITE 315
NORFOLK, VA 23502
Norfolk City (757) 461-5400
LEAH BETH CARTER DPT
Physical Therapist
6161 KEMPSVILLE CIR, STE 250
NORFOLK, VA 23502
Norfolk City (757) 893-9210
NORFOLK PLASTIC SURGERY, PC
Surgery (Plastic and Reconstructive Surgery)
6161 KEMPSVILLE CIR, SUITE 300
NORFOLK, VA 23502
Norfolk City (757) 466-1000
MR. JOHN KENNETH DUPEROCK MS PT
Physical Therapist
6161 KEMPSVILLE CIR
NORFOLK, VA 23502
Norfolk City (757) 893-9210
MARY ALLISON BOWLES M.D.
Psychiatry & Neurology (Neurology)
6161 KEMPSVILLE CIR, SUITE 315
NORFOLK, VA 23502
Norfolk City (757) 461-5400

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 Coastal Pediatric Dental & Anesthesia, PLLC's NPI number?

The NPI number for Coastal Pediatric Dental & Anesthesia, PLLC is 1184155962. It was assigned to this organization in the NPPES registry on March 23, 2017. The provider is doing business as Coastal Pediatric Dental & Anesthesia. The provider was formerly known as Jillian Reynolds, DDS & Jonathan L Wong, DMD , PLLC.

Where is Coastal Pediatric Dental & Anesthesia, PLLC located?

Coastal Pediatric Dental & Anesthesia, PLLC is located at 6161 Kempsville Cir Suite 345, Norfolk, VA 23502. The listed phone number is (602) 799-1748.

What is Coastal Pediatric Dental & Anesthesia, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Coastal Pediatric Dental & Anesthesia, PLLC was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.