PEDIATRIC DENTAL SPECIALISTS OF HAMPTON
NPI 1720520794
Clinic/Center - Dental in Hampton, VA

Active since November 08, 2016
2111 HARTFORD RD, HAMPTON, VA 23666(757) 903-4525 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dental Specialists Of Hampton NPPES

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

PEDIATRIC DENTAL SPECIALISTS OF HAMPTON (NPI 1720520794) is a healthcare organization registered as a dental in Hampton, Virginia and active in the NPI registry since November 2016. The organization lists Rana D Graham-montaque, Owner/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1720520794
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEDIATRIC DENTAL SPECIALISTS OF HAMPTON
Location Address2111 HARTFORD RDHampton, VA 23666-2576
Mailing Address213 Bulifants Blvd Ste BWilliamsburg, VA 23188-5733 · (757) 903-4525
Organization SubpartNo
Authorized OfficialRana D Graham-montaqueOwner/pediatric Dentist · (804) 640-8545
Enumeration DateNovember 8, 2016
NPI 1720520794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in VA · 0401411505
2111 HARTFORD RD, Hampton, VA 23666

Other Identifiers 1

Medicaid3061719VA

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
2111 HARTFORD RD
HAMPTON, VA 23666
Clinic/Center (Ambulatory Surgical)
2111 HARTFORD RD, SUITE D
HAMPTON, VA 23666

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 Specialists Of Hampton's NPI number?

The NPI number for Pediatric Dental Specialists Of Hampton is 1720520794. It was assigned to this organization in the NPPES registry on November 8, 2016.

Where is Pediatric Dental Specialists Of Hampton located?

Pediatric Dental Specialists Of Hampton is located at 2111 Hartford Rd, Hampton, VA 23666. The listed phone number is (757) 903-4525.

What is Pediatric Dental Specialists Of Hampton's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Specialists Of Hampton was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.