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COLISEUM PEDIATRIC DENTISTRY PLLC
NPI 1467771766
Dentist - Pediatric Dentistry in Hampton, VA

Active since May 26, 2010
2113 HARTFORD RD STE C, HAMPTON, VA 23666(757) 838-0800(757) 827-8532 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coliseum Pediatric Dentistry Pllc NPPES

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

COLISEUM PEDIATRIC DENTISTRY PLLC (NPI 1467771766) is a healthcare organization registered as a pediatric dentistry in Hampton, Virginia and active in the NPI registry since May 2010. The organization maintains a secondary practice location in Hampton and lists Grace O Davis, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1467771766
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCOLISEUM PEDIATRIC DENTISTRY PLLC
Location Address2113 HARTFORD RD STE CHampton, VA 23666-2575
Mailing Address3120 Kiln Creek Pkwy Ste PYorktown, VA 23693-5648 · (757) 369-1754 · Fax (757) 234-8891
Phone(757) 838-0800
Fax(757) 827-8532
Organization SubpartNo
Authorized OfficialGrace O DavisBusiness Administrator · (757) 369-1754
Enumeration DateMay 26, 2010
Last NPPES UpdateMay 29, 2019
✔ NPI 1467771766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
2113 HARTFORD RD STE C, Hampton, VA 23666
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Secondary Practice Location 1

Location 12111 Hartford Rd Ste DHampton, VA 23666-2576 · Phone (757) 327-7843 · Fax (757) 941-5411

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 Coliseum Pediatric Dentistry PLLC's NPI number?

The NPI number for Coliseum Pediatric Dentistry PLLC is 1467771766. It was assigned to this organization in the NPPES registry on May 26, 2010.

Where is Coliseum Pediatric Dentistry PLLC located?

Coliseum Pediatric Dentistry PLLC is located at 2113 Hartford Rd Ste C, Hampton, VA 23666. The listed phone number is (757) 838-0800.

What is Coliseum Pediatric Dentistry PLLC'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 Coliseum Pediatric Dentistry PLLC was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.