Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHORE DRIVE DENTAL
NPI 1356248868
Dentist - General Practice in Virginia Beach, VA

Q: What is Shore Drive Dental's NPI number?

The NPI number for Shore Drive Dental is 1356248868. It was assigned to this organization in the NPPES registry on October 20, 2026.

Q: What is Shore Drive Dental's specialty?

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

Active since October 20, 2026

4417A SHORE DR, VIRGINIA BEACH, VA 23455(757) 460-1939 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Shore Drive Dental NPPES

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

SHORE DRIVE DENTAL (NPI 1356248868) is a healthcare organization registered as a general practice in Virginia Beach, Virginia and active in the NPI registry since October 2026. The organization lists Ritchelle San Juan, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1356248868

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSHORE DRIVE DENTAL

Location Address4417A SHORE DRVirginia Beach, VA 23455-2821

Mailing Address4417a Shore DrVirginia Beach, VA 23455-2821 · (757) 460-1939

Phone(757) 460-1939

Organization SubpartYesParent: Riverside Family Dentistry

Authorized OfficialRitchelle San JuanOffice Administrator · (757) 478-6856

Enumeration DateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1356248868 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.

4417A SHORE DR, Virginia Beach, VA 23455

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Other Providers at the Same Location NPPES

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

LESLIE I. RICHMOND

Dentist

4417A SHORE DR
VIRGINIA BEACH, VA 23455

Virginia Beach City (757) 460-1939

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 Shore Drive Dental's NPI number?

The NPI number for Shore Drive Dental is 1356248868. It was assigned to this organization in the NPPES registry on October 20, 2026.

Where is Shore Drive Dental located?

Shore Drive Dental is located at 4417A Shore Dr, Virginia Beach, VA 23455. The listed phone number is (757) 460-1939.

What is Shore Drive Dental'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 Shore Drive Dental was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.