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DR. KRISTOFER KARLO JOSE CEREDON D.D.S.
NPI 1760859466
Dentist - General Practice in Portsmouth, VA

Active since August 28, 2015
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-7011 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kristofer Karlo Jose Ceredon D.d.s. NPPES

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

DR. KRISTOFER KARLO JOSE CEREDON D.D.S. (NPI 1760859466) is an individual general practice provider in Portsmouth, Virginia, licensed in Illinois (019030402) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1760859466
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KRISTOFER KARLO JOSE CEREDONCredential: D.D.S.
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111
Phone(757) 953-7011
Sole ProprietorYes
Enumeration DateAugust 28, 2015
Last NPPES UpdateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
✔ NPI 1760859466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019030402
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Humana, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

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 Kristofer Karlo Jose Ceredon's NPI number?

The NPI number for Kristofer Karlo Jose Ceredon is 1760859466. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Kristofer Karlo Jose Ceredon located?

Kristofer Karlo Jose Ceredon practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-7011.

What is Kristofer Karlo Jose Ceredon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kristofer Karlo Jose Ceredon accept?

Health plans from BEST Life, Humana and UnitedHealthcare list Kristofer Karlo Jose Ceredon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristofer Karlo Jose Ceredon was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.