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COASTAL PEDIATRIC DENTAL & ANESTHESIA, A DIVISION OF ATLANTIC DENTAL CARE
NPI 1639936172
Dentist in Norfolk, VA

Active since March 01, 2024
6161 KEMPSVILLE CIR STE 345, NORFOLK, VA 23502(757) 963-0001(757) 961-9988 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Pediatric Dental & Anesthesia, A Division Of Atlantic Dental Care NPPES

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

COASTAL PEDIATRIC DENTAL & ANESTHESIA, A DIVISION OF ATLANTIC DENTAL CARE (NPI 1639936172), doing business as Coastal Pediatric Dental & Anesthesia, is a healthcare organization registered as a dentist in Norfolk, Virginia and active in the NPI registry since March 2024. The organization lists Jonathan L Wong, Dentist, as its authorized official.

NPPES Registry Identity

NPI1639936172
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOASTAL PEDIATRIC DENTAL & ANESTHESIA, A DIVISION OF ATLANTIC DENTAL CARE
Location Address6161 KEMPSVILLE CIR STE 345Norfolk, VA 23502-3950
Mailing Address6161 Kempsville Cir Ste 345Norfolk, VA 23502-3950 · (757) 963-0001 · Fax (757) 961-9988
Phone(757) 963-0001
Fax(757) 961-9988
Organization SubpartYesParent: Atlantic Dental Care, Plc
Authorized OfficialJonathan L WongDentist · (757) 963-0001
Enumeration DateMarch 1, 2024
Last NPPES UpdateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1639936172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
6161 KEMPSVILLE CIR STE 345, Norfolk, VA 23502
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Other Names 2

Doing Business AsCoastal Pediatric Dental & Anesthesia
Former Legal Business NameJillian Reynolds Dds & Jonathan L Wong, Dmd Pllc, A Division Of Atlantic Dental Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JONATHAN L WONG D.M.D.
Dentist (Dentist Anesthesiologist)
6161 KEMPSVILLE CIR STE 345
NORFOLK, VA 23502
Norfolk City (757) 963-0001

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 Coastal Pediatric Dental & Anesthesia, A Division Of Atlantic Dental Care's NPI number?

The NPI number for Coastal Pediatric Dental & Anesthesia, A Division Of Atlantic Dental Care is 1639936172. It was assigned to this organization in the NPPES registry on March 1, 2024. The provider is doing business as Coastal Pediatric Dental & Anesthesia. The provider was formerly known as Jillian Reynolds DDS & Jonathan L Wong, DMD PLLC, A Division of Atlantic Dental Care.

Where is Coastal Pediatric Dental & Anesthesia, A Division Of Atlantic Dental Care located?

Coastal Pediatric Dental & Anesthesia, A Division Of Atlantic Dental Care is located at 6161 Kempsville Cir Ste 345, Norfolk, VA 23502. The listed phone number is (757) 963-0001.

What is Coastal Pediatric Dental & Anesthesia, A Division Of Atlantic Dental Care's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Coastal Pediatric Dental & Anesthesia, A Division Of Atlantic Dental Care was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.