IndividualActive
Amy Namsupak, DDS
NPI 1811300460 · Pediatric Dentistry · Virginia Beach, VA
Provider details
- NPI number
- 1811300460
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0401415277 (VA)
Specialties & taxonomies
Dental Providers
Practice location
2100 Lynnhaven Pkwy
Suite 200
Virginia Beach, VA 23456-1492
Phone: (757) 961-4000
Approximate (ZIP-level) locationGet directions
Mailing address
1537 Waltham Way
Chesapeake, VA 23320-4077
Registry dates
- Enumerated
- 2014-06-10
- Last updated
- 2016-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.