PEDIATRIC DENTAL CARE OF TIDEWATER PC
NPI 1891915112
Dentist - Pediatric Dentistry in Portsmouth, VA

Q: What is Pediatric Dental Care Of Tidewater PC's specialty?

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

Active since April 27, 2007

5915 HIGH STREET WEST, PORTSMOUTH, VA 23703(757) 484-8262(757) 638-3632 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Dental Care Of Tidewater Pc NPPES

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

PEDIATRIC DENTAL CARE OF TIDEWATER PC (NPI 1891915112) is a healthcare organization registered as a pediatric dentistry in Portsmouth, Virginia and active in the NPI registry since April 2007. The organization lists Morgan Trey Weis, Owner, as its authorized official.

NPPES Registry Identity

NPI1891915112

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTAL CARE OF TIDEWATER PC

Location Address5915 HIGH STREET WESTPortsmouth, VA 23703

Mailing Address5915 High St WPortsmouth, VA 23703-4505 · (757) 484-8262 · Fax (757) 638-3632

Phone(757) 484-8262

Fax(757) 638-3632

Organization SubpartNo

Authorized OfficialMorgan Trey WeisOwner · (757) 484-8262

Enumeration DateApril 27, 2007

Last NPPES UpdateJanuary 3, 2025

NPPES CertifiedJanuary 3, 2025

✔ NPI 1891915112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in VA · 0401410496

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.

5915 HIGH STREET WEST, Portsmouth, VA 23703

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

ROOPA S MURTHY DDS

Dentist (General Practice)

5915 HIGH STREET WEST, SUITE 100
PORTSMOUTH, VA 23703

Portsmouth City (757) 484-8262

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 Care Of Tidewater PC's NPI number?

The NPI number for Pediatric Dental Care Of Tidewater PC is 1891915112. It was assigned to this organization in the NPPES registry on April 27, 2007.

Where is Pediatric Dental Care Of Tidewater PC located?

Pediatric Dental Care Of Tidewater PC is located at 5915 High Street West, Portsmouth, VA 23703. The listed phone number is (757) 484-8262.

What is Pediatric Dental Care Of Tidewater PC'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 Pediatric Dental Care Of Tidewater PC was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.