Hampton Roads Pediatric Dentistry and Orthodontics, PLLC
NPI 1174996359ActiveOrganization· Dentist, Pediatric Dentistry· Portsmouth, VA
Dentist, Pediatric Dentistry in Portsmouth, Virginia, registered in NPPES in November 2015, part of Hampton Roads Pediatric Dentistry and Orthodontics, PLLC. The authorized official on file is Grace O. Davis, Business Administrator.
Overview
| NPI | 1174996359 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Hampton Roads Pediatric Dentistry and Orthodontics, PLLC |
| NPI issued | Nov 10, 2015 |
| Last updated in NPPES | Apr 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 0401410912 | VA |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 0401412905 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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