CENTREVILLE PEDIATRIC DENTISTRY PLLC
NPI 1720948052
Dentist - Pediatric Dentistry in Centreville, VA

Q: What is Centreville Pediatric Dentistry PLLC's NPI number?

The NPI number for Centreville Pediatric Dentistry PLLC is 1720948052. It was assigned to this organization in the NPPES registry on November 18, 2025.

Q: What is Centreville Pediatric Dentistry PLLC's specialty?

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

Active since November 18, 2025

14701 LEE HWY, STE 107-108, CENTREVILLE, VA 20121(757) 869-9916(757) 898-4919 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Centreville Pediatric Dentistry Pllc NPPES

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

CENTREVILLE PEDIATRIC DENTISTRY PLLC (NPI 1720948052) is a healthcare organization registered as a pediatric dentistry in Centreville, Virginia and active in the NPI registry since November 2025. The organization lists Chris Cannon, Rcm, as its authorized official.

NPPES Registry Identity

NPI1720948052

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameCENTREVILLE PEDIATRIC DENTISTRY PLLC

Location Address14701 LEE HWY, STE 107-108Centreville, VA 20121-2137

Mailing Address3120 Kiln Creek Pkwy, Ste PNewport News, VA 23601-3651 · (757) 869-9916 · Fax (757) 898-4919

Phone(757) 869-9916

Fax(757) 898-4919

Organization SubpartNo

Authorized OfficialChris CannonRcm · (757) 869-9916

Enumeration DateNovember 18, 2025

NPPES CertifiedNovember 3, 2025

✔ NPI 1720948052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

14701 LEE HWY, Centreville, VA 20121

Open in Google Maps ↗

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 9

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

DAE HYUNG KIM

Acupuncturist

14701 LEE HWY, SUITE 306
CENTREVILLE, VA 20121

Fairfax County (703) 266-2220

NEDA HASHEMI MD PC

Obstetrics & Gynecology

14701 LEE HWY, #303
CENTREVILLE, VA 20121

Fairfax County (703) 830-4388

PRIME ORTHODONTICS PLLC

Dentist (Orthodontics and Dentofacial Orthopedics)

14701 LEE HWY, STE 107-108
CENTREVILLE, VA 20121

Fairfax County (757) 869-9916

FIRST CHIROPRACTIC &ACUPUNCTURE

Chiropractor

14701 LEE HWY, SUITE 307
CENTREVILLE, VA 20121

Fairfax County (703) 543-4810

IMAGE MEDICAL LLC

Physician Assistant (Surgical)

14701 LEE HWY, SUITE 303
CENTREVILLE, VA 20121

Fairfax County (301) 367-1666

LEE SEOB PARK D.C.

Chiropractor

14701 LEE HWY, SUITE 307
CENTREVILLE, VA 20121

Fairfax County (703) 543-4810

NULIFE PHYSICAL THERAPY P. C.

Specialist

14701 LEE HWY, SUITE # 206
CENTREVILLE, VA 20121

Fairfax County (571) 215-5061

LIFELINE HOME CARE, INC

Technician (Personal Care Attendant)

14701 LEE HWY, SUITE 206
CENTREVILLE, VA 20121

Fairfax County (703) 543-7511

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 Centreville Pediatric Dentistry PLLC's NPI number?

The NPI number for Centreville Pediatric Dentistry PLLC is 1720948052. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Centreville Pediatric Dentistry PLLC located?

Centreville Pediatric Dentistry PLLC is located at 14701 Lee Hwy Ste 107-108, Centreville, VA 20121. The listed phone number is (757) 869-9916.

What is Centreville 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 Centreville Pediatric Dentistry PLLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.