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Childrens Endodontic Services, Pc
Endodontist in Petersburg, Virginia
NPI 1750403911

Childrens Endodontic Services, Pc is a Endodontist based in Petersburg, VA and is specialized in Endodontics. Childrens Endodontic Services, Pc practices in Petersburg, VA. The NPI Number for Childrens Endodontic Services, Pc is 1750403911 and holds a License No. 0401412670 (Virginia).

The current practice location address for Childrens Endodontic Services, Pc is 2010 Wakefield Ave, Petersburg, VA and can be reached out via phone at 804-733-6740 and via fax at 804-733-8687.

Location: 2010 Wakefield Ave, Petersburg, VA, 23805-2112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750403911
Provider Name
Childrens Endodontic Services, Pc
Credential
Provider Entity Type
Organization
Address
2010 Wakefield Ave, Petersburg, VA, 23805-2112
Phone Number
804-733-6740
Fax Number
804-733-8687
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3225803 05 TN
5360 01 TN TENNESSEE DENTAL LICENSE
DN19669 01 FL FLORIDA LIMITED DENTAL LICENSE
0401412670 01 VA VIRGINIA DENTAL LICENSE
DEN1000852 01 DC WASHINGTON DC DENTAL LICENSE
004708800 05 FL
1184607756 05 VA
45003936 05 KY
60003308 05 KY
institution
Provider Business Practice Location Address Details
Address
2010 Wakefield Ave
City
Petersburg
State
Virginia
Zip
23805-2112
Phone Number
804-733-6740
Fax Number
804-733-8687
person
Provider Business Mailing Address Details
Address
2010 Wakefield Ave
City
Petersburg
State
Virginia
Zip
23805-2112
Phone Number
804-733-6740
Fax Number
804-733-8687
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
0401412670 (Virginia)
Definition
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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