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CHILDRENS ENDODONTIC SERVICES, PC

Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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Contact Information

CHILDRENS ENDODONTIC SERVICES, PC
2010 WAKEFIELD AVE
PETERSBURG, VA  23805-2112
 Phone: 804-733-6740
 Fax: 804-733-8687
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Endodontics

 1223E0200X
Indicates primary specialty

NPI Profile & details for CHILDRENS ENDODONTIC SERVICES, PC

NPI # 1750403911
LBN Legal business name CHILDRENS ENDODONTIC SERVICES, PC
Authorized official PAULA NESBITT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/06/2007
Last updated 11/07/2015 - About 11 years ago
Identifiers
VA License # 0401412670
FL Medicaid 004708800
KY Medicaid 45003936
KY Medicaid 60003308
TN Medicaid 3225803
VA Medicaid 1184607756
DC Other DEN1000852 WASHINGTON DC DENTAL LICENSE
FL Other DN19669 FLORIDA LIMITED DENTAL LICENSE
TN Other 5360 TENNESSEE DENTAL LICENSE
VA Other 0401412670 VIRGINIA DENTAL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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