1. Home
  2. Directory
  3. Virginia
  4. Newport News
  5. Dentist
  6. NPI Profile

PENINSULA PEDIATRIC DENTISTRY, P.C.
NPI 1548477649
Dentist - Pediatric Dentistry in Newport News, VA

Active since May 17, 2007
220 NAT TURNER BOULEVARD S, NEWPORT NEWS, VA 23606(757) 240-5711(757) 240-4939 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peninsula Pediatric Dentistry, P.c. NPPES

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

PENINSULA PEDIATRIC DENTISTRY, P.C. (NPI 1548477649) is a healthcare organization registered as a pediatric dentistry in Newport News, Virginia and active in the NPI registry since May 2007. The organization lists Grace O Davis, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1548477649
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePENINSULA PEDIATRIC DENTISTRY, P.C.
Location Address220 NAT TURNER BOULEVARD SNewport News, VA 23606
Mailing Address220 Nat Turner Boulevard SNewport News, VA 23606
Phone(757) 240-5711
Fax(757) 240-4939
Organization SubpartNo
Authorized OfficialGrace O DavisBusiness Administrator · (757) 369-1754
Enumeration DateMay 17, 2007
Last NPPES UpdateMay 29, 2019
✔ NPI 1548477649 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 · 0401410912
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.
220 NAT TURNER BOULEVARD S, Newport News, VA 23606
Open in Google Maps ↗

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 Peninsula Pediatric Dentistry, P.C.'s NPI number?

The NPI number for Peninsula Pediatric Dentistry, P.C. is 1548477649. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Peninsula Pediatric Dentistry, P.C. located?

Peninsula Pediatric Dentistry, P.C. is located at 220 Nat Turner Boulevard S, Newport News, VA 23606. The listed phone number is (757) 240-5711.

What is Peninsula Pediatric Dentistry, P.C.'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 Peninsula Pediatric Dentistry, P.C. 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.