PEDIATRIC DENTAL CARE OF VIRGINIA
NPI 1366654808
Dentist - Pediatric Dentistry in Collinsville, VA

Q: What is Pediatric Dental Care Of Virginia's NPI number?

The NPI number for Pediatric Dental Care Of Virginia is 1366654808. It was assigned to this organization in the NPPES registry on May 4, 2007.

Q: What is Pediatric Dental Care Of Virginia's specialty?

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

Active since May 04, 2007

5126 KING'S MOUNTAIN ROAD, COLLINSVILLE, VA 24078(276) 647-2033(276) 647-2034 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric Dental Care Of Virginia NPPES

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

PEDIATRIC DENTAL CARE OF VIRGINIA (NPI 1366654808) is a healthcare organization registered as a pediatric dentistry in Collinsville, Virginia and active in the NPI registry since May 2007. The organization lists Gabriel Malchijah Brown, President, as its authorized official.

NPPES Registry Identity

NPI1366654808

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTAL CARE OF VIRGINIA

Location Address5126 KING'S MOUNTAIN ROADCollinsville, VA 24078

Mailing Address5126 King's Mountain RoadCollinsville, VA 24078 · (276) 647-2033 · Fax (276) 647-2034

Phone(276) 647-2033

Fax(276) 647-2034

Organization SubpartNo

Authorized OfficialGabriel Malchijah BrownPresident · (540) 293-2289

Enumeration DateMay 4, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1366654808 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 · 0401410219

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.

5126 KING'S MOUNTAIN ROAD, Collinsville, VA 24078

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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 Pediatric Dental Care Of Virginia's NPI number?

The NPI number for Pediatric Dental Care Of Virginia is 1366654808. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Pediatric Dental Care Of Virginia located?

Pediatric Dental Care Of Virginia is located at 5126 King's Mountain Road, Collinsville, VA 24078. The listed phone number is (276) 647-2033.

What is Pediatric Dental Care Of Virginia'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 Pediatric Dental Care Of Virginia was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.