OrganizationActive
Prime Orthodontics PLLC
NPI 1104663962 · Orthodontics and Dentofacial Orthopedics Dentistry · Newport News, VA
Provider details
- NPI number
- 1104663962
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Chris Cannon, Rcm(757) 869-9916
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
220 Nat Turner Blvd S
Newport News, VA 23606-2998
Phone: (757) 240-5711
Fax: (757) 240-4939
Street-level locationGet directions
Mailing address
3120 Kiln Creek Pkwy
Yorktown, VA 23693-5648
Additional practice locations (2)
- 6750 Main StGloucester, VA 23061-5143Phone: (804) 695-2575Fax: (804) 695-2815
- 5000 Foundation StWilliamsburg, VA 23188-2872Phone: (757) 259-9703Fax: (757) 259-9715
Registry dates
- Enumerated
- 2024-07-10
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.