institution
Woodside Pediatric Dentistry
Pediatric Dentist in Warrenton, Virginia
NPI 1154467249

Woodside Pediatric Dentistry is a Pediatric Dentist based in Warrenton, VA and is specialized in Pediatric Dentistry. Woodside Pediatric Dentistry practices in Warrenton, VA. The NPI Number for Woodside Pediatric Dentistry is 1154467249 and holds a License No. 0401411006 (Virginia).

The current practice location address for Woodside Pediatric Dentistry is 400 Holiday Ct, Warrenton, VA and can be reached out via phone at 540-341-0014 and via fax at 540-341-0303.

Location: 400 Holiday Ct, Warrenton, VA, 20186-4349
institution
Provider Profile Details
NPI Number
1154467249
Provider Name
Woodside Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
400 Holiday Ct, Warrenton, VA, 20186-4349
Phone Number
540-341-0014
Fax Number
540-341-0303
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1777507 01 VA UNITED CONCORDIA
186781 01 VA ANTHEM DENTAL
107966 05 VA
institution
Provider Business Practice Location Address Details
Address
400 Holiday Ct
City
State
Zip
20186-4349
Phone Number
540-341-0014
Fax Number
540-341-0303
person
Provider Business Mailing Address Details
Address
400 Holiday Ct
City
State
Zip
20186-4349
Phone Number
540-341-0014
Fax Number
540-341-0303
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
0401411006 (Virginia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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