Coliseum Pediatric Dentistry PLLC
NPI 1467771766ActiveOrganization· Dentist, Pediatric Dentistry· Hampton, VA
Dentist, Pediatric Dentistry in Hampton, Virginia, registered in NPPES in May 2010. The authorized official on file is Grace O. Davis, Business Administrator.
Overview
| NPI | 1467771766 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2010 |
| Last updated in NPPES | May 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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 |
|---|
Other pediatric dentists in Hampton
- 1033431770
- 1699906255
- 1932459013
- 1902053762