PEDIATRIC DENTAL SPECIALISTS PLLC
NPI 1265782361
Dentist - Pediatric Dentistry in Williamsburg, VA

Active since September 16, 2012
213 BULIFANTS BLVD STE B, WILLIAMSBURG, VA 23188(866) 977-4787 Get Directions Write a Review

NPPES record last updated: September 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Dental Specialists Pllc NPPES

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

PEDIATRIC DENTAL SPECIALISTS PLLC (NPI 1265782361) is a healthcare organization registered as a pediatric dentistry in Williamsburg, Virginia and active in the NPI registry since September 2012. The organization lists Rana Denise Graham-montaqe, Owner/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1265782361
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL SPECIALISTS PLLC
Location Address213 BULIFANTS BLVD STE BWilliamsburg, VA 23188-5733
Mailing Address213 Bulifants Blvd Ste BWilliamsburg, VA 23188-5733 · (866) 977-4787
Organization SubpartNo
Authorized OfficialRana Denise Graham-montaqeOwner/pediatric Dentist · (866) 977-4787
Enumeration DateSeptember 16, 2012
NPI 1265782361 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 · 0401411505
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.
213 BULIFANTS BLVD STE B, Williamsburg, VA 23188

Other Identifiers 1

Medicaid11505VA

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

Accepted Insurance

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 Pediatric Dental Specialists PLLC's NPI number?

The NPI number for Pediatric Dental Specialists PLLC is 1265782361. It was assigned to this organization in the NPPES registry on September 16, 2012.

Where is Pediatric Dental Specialists PLLC located?

Pediatric Dental Specialists PLLC is located at 213 Bulifants Blvd Ste B, Williamsburg, VA 23188. The listed phone number is (866) 977-4787.

What is Pediatric Dental Specialists PLLC's specialty?

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

What insurance does Pediatric Dental Specialists PLLC accept?

Health plans from UnitedHealthcare list Pediatric Dental Specialists PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Specialists PLLC was last updated on September 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.