OrganizationActive
Courthouse Pediatric Dentistry PLLC
NPI 1790573731 · Dental Clinic/Center · Gloucester, VA
Provider details
- NPI number
- 1790573731
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chris Cannon, Rcm(804) 695-2575
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 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
1 documented practice location
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
6750 Main St
Gloucester, VA 23061-5517
Phone: (804) 695-2575
Fax: (804) 695-2815
Street-level locationGet directions
Mailing address
6750 Main St
Gloucester, VA 23061-5517
Other names (DBA / former)
- Other name
- Gloucester Pd
Registry dates
- Enumerated
- 2025-04-29
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.