Prime Orthodontics Pllc
NPI #1578393146 in Gloucester, Virginia
Provider Information
- NPI Number
- 1578393146
- Entity Type
- Organization
- Organization Name
- Prime Orthodontics Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRIME ORTHODONTICS
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Aug 7, 2024
- Last Updated
- Aug 7, 2024
Practice Location
- Address
- 6750 MAIN ST
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-5517
- Phone
- (757) 327-4843
Authorized Official
- Name
- CHRIS L CANNON
- Title
- RCM
- Phone
- (757) 327-4843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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