| Friendly Faces Pediactric Dentistry | |
|
446 Effingham St 1st Floor Portsmouth VA 23704-3416 | |
| (757) 397-9801 | |
| (757) 397-9805 |
| Full Name | Friendly Faces Pediactric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 446 Effingham St, Portsmouth, Virginia |
| Authorized Official Name and Position | Vernita Marie Baxter (BUSINESS MANAGER) |
| Authorized Official Contact | 7573979801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Friendly Faces Pediactric Dentistry 446 Effingham St 1st Floor Portsmouth VA 23704-3416 Ph: (757) 397-9801 | Friendly Faces Pediactric Dentistry 446 Effingham St 1st Floor Portsmouth VA 23704-3416 Ph: (757) 397-9801 |
| NPI Number | 1295960615 |
|---|---|
| Provider Enumeration Date | 05/29/2009 |
| Last Update Date | 06/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295960615 | NPI | - | NPPES |
| 008200025 | Medicaid | VA | |
| 8990115 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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