NPI 1033926662
Pediatric Dental Care of Tidewater PC
Practice location
- Address
- 2029 Lynnhaven Pkwy, Virginia Beach, VA 23456-1474
- Phone
- (757) 703-1923
- Mailing address
- 5915 High St W, Portsmouth, VA 23703-4505
Authorised official
- Name
- Morgan Trey Weis
- Title
- Owner
- Phone
- (757) 484-8262
Registered specialties
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
Registry record
- NPI
- 1033926662
- Entity type
- Organization
- NPI issued
- 17 Dec 2024
- Record last updated
- 17 Dec 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.