NPI 1023568995
Red Mill Pediatric Dentistry, PLLC
Practice location
- Address
- 2336 Elson Green Ave STE 101, Virginia Beach, VA 23456-6939
- Phone
- (757) 301-2064
- Mailing address
- 3120 Kiln Creek Pkwy STE P, Yorktown, VA 23693-5648
Authorised official
- Name
- Grace O Davis
- Title
- Business Administrator
- Phone
- (757) 369-1754
Registered specialties (2)
Pediatric Dentistry
Primary
Orthodontics and Dentofacial Orthopedics Dentistry
Registry record
- NPI
- 1023568995
- Entity type
- Organization
- NPI issued
- 4 Oct 2016
- Record last updated
- 10 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.