OrganizationActive
Centreville Pediatric Dentistry PLLC
NPI 1720948052 · Pediatric Dentistry · Centreville, VA
Provider details
- NPI number
- 1720948052
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Chris Cannon, Rcm(757) 869-9916
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
14701 Lee Hwy
Ste 107-108
Centreville, VA 20121-2137
Phone: (757) 869-9916
Fax: (757) 898-4919
Approximate (ZIP-level) locationGet directions
Mailing address
3120 Kiln Creek Pkwy
Newport News, VA 23601-3651
Registry dates
- Enumerated
- 2025-11-18
- Last updated
- 2025-11-18
- Certified
- 2025-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.