BRENDON E. PRESTWICH, PLLC
NPI 1194592717
Dentist - General Practice in Portsmouth, VA

Active since December 04, 2023
6224 PORTSMOUTH BLVD STE 300, PORTSMOUTH, VA 23701(757) 500-8500 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brendon E. Prestwich, Pllc NPPES

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

BRENDON E. PRESTWICH, PLLC (NPI 1194592717), doing business as Super Smiles 4 Kids, is a healthcare organization registered as a general practice in Portsmouth, Virginia and active in the NPI registry since December 2023. The organization lists Brendon Prestwich, President, as its authorized official.

NPPES Registry Identity

NPI1194592717
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRENDON E. PRESTWICH, PLLC
Location Address6224 PORTSMOUTH BLVD STE 300Portsmouth, VA 23701-1351
Mailing Address1370 Little Neck RdVirginia Beach, VA 23452-4719 · (505) 358-8681
Organization SubpartNo
Authorized OfficialBrendon PrestwichPresident · (505) 358-8681
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
NPI 1194592717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6224 PORTSMOUTH BLVD STE 300, Portsmouth, VA 23701

Other Names 1

Doing Business AsSuper Smiles 4 Kids

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 2

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

Dentist (Pediatric Dentistry)
6224 PORTSMOUTH BLVD STE 300
PORTSMOUTH, VA 23701
Dentist (Pediatric Dentistry)
6224 PORTSMOUTH BLVD STE 300
PORTSMOUTH, VA 23701

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 Brendon E. Prestwich, PLLC's NPI number?

The NPI number for Brendon E. Prestwich, PLLC is 1194592717. It was assigned to this organization in the NPPES registry on December 4, 2023. The provider is doing business as Super Smiles 4 Kids.

Where is Brendon E. Prestwich, PLLC located?

Brendon E. Prestwich, PLLC is located at 6224 Portsmouth Blvd Ste 300, Portsmouth, VA 23701. The listed phone number is (757) 500-8500.

What is Brendon E. Prestwich, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Brendon E. Prestwich, PLLC was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.