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COURTHOUSE PEDIATRIC DENTISTRY PLLC
NPI 1790573731
Clinic/Center - Dental in Gloucester, VA

Active since April 29, 2025
6750 MAIN ST, GLOUCESTER, VA 23061(804) 695-2575(804) 695-2815 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Courthouse Pediatric Dentistry Pllc NPPES

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

COURTHOUSE PEDIATRIC DENTISTRY PLLC (NPI 1790573731) is a healthcare organization registered as a dental in Gloucester, Virginia and active in the NPI registry since April 2025. The organization lists Chris L Cannon, Rcm, as its authorized official.

NPPES Registry Identity

NPI1790573731
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOURTHOUSE PEDIATRIC DENTISTRY PLLC
Location Address6750 MAIN STGloucester, VA 23061-5517
Mailing Address6750 Main StGloucester, VA 23061-5517 · (804) 695-2575 · Fax (804) 695-2815
Phone(804) 695-2575
Fax(804) 695-2815
Organization SubpartNo
Authorized OfficialChris L CannonRcm · (804) 695-2575
Enumeration DateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1790573731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
6750 MAIN ST, Gloucester, VA 23061
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Other Names 1

Other NameGloucester Pd

Other Providers at the Same Location NPPES

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

PRIME ORTHODONTICS PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
6750 MAIN ST
GLOUCESTER, VA 23061
Gloucester County (757) 327-4843

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 Courthouse Pediatric Dentistry PLLC's NPI number?

The NPI number for Courthouse Pediatric Dentistry PLLC is 1790573731. It was assigned to this organization in the NPPES registry on April 29, 2025. The provider is also known as Gloucester PD.

Where is Courthouse Pediatric Dentistry PLLC located?

Courthouse Pediatric Dentistry PLLC is located at 6750 Main St, Gloucester, VA 23061. The listed phone number is (804) 695-2575.

What is Courthouse Pediatric Dentistry PLLC'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 Courthouse Pediatric Dentistry PLLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.