Coastal Pediatric Dental & Anesthesia - Dental Clinic in Norfolk, VA

Coastal Pediatric Dental & Anesthesia is a dental clinic (Dentist - Dentist Anesthesiologist) in Norfolk, Virginia. The current practice location for Coastal Pediatric Dental & Anesthesia is 6161 Kempsville Cir, Suite 345, Norfolk, Virginia. For appointments, you can reach them via phone at (602) 799-1748. The mailing address for Coastal Pediatric Dental & Anesthesia is 303 55th St, Unit A, Virginia Beach, Virginia and phone number is (602) 799-1748.

Coastal Pediatric Dental & Anesthesia is licensed to practice in Virginia (license number 0447000045) and its NPI number is 1184155962. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (602) 799-1748.

Contact Information

Coastal Pediatric Dental & Anesthesia
6161 Kempsville Cir
Suite 345
Norfolk
VA 23502-3932
(602) 799-1748
Not Available

Dental Care Clinic Profile

Full NameCoastal Pediatric Dental & Anesthesia
SpecialityDentist - Dentist Anesthesiologist
Location6161 Kempsville Cir, Norfolk, Virginia
Authorized Official Name and PositionJonathan Lawrence Wong (DENTIST ANESTHESIOLOGIST, OWNER)
Authorized Official Contact6027991748
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Coastal Pediatric Dental & Anesthesia
303 55th St
Unit A
Virginia Beach
VA 23451-2231

Ph: (602) 799-1748
Coastal Pediatric Dental & Anesthesia
6161 Kempsville Cir
Suite 345
Norfolk
VA 23502-3932

Ph: (602) 799-1748

NPI Details:

NPI Number1184155962
Provider Enumeration Date03/23/2017
Last Update Date02/17/2024

Medical Identifiers

Medical identifiers for Coastal Pediatric Dental & Anesthesia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184155962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 0401414467 (Virginia)Secondary
1223D0004XDentist - Dentist Anesthesiologist 0447000045 (Virginia)Primary
1223P0221XDentist - Pediatric Dentistry 0401413751 (Virginia)Secondary

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