Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coliseum Pediatric Dentistry Surgery Center

Organization Pediatric Dentistry · NPI 1700631801

Coliseum Pediatric Dentistry Surgery Center is a Pediatric Dentistry in Hampton, Virginia. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

2113 Hartford Rd
Hampton, VA 23666-2575
Phone: (757) 327-7843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2111 Hartford Rd, Hampton, VA 23666-2576 — (757) 327-7843

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Pediatric Dentistry Taxonomy 1223P0221X

Record details

NPI number1700631801
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColiseum Pediatric Dentistry PLLC
Authorized official Chris Cannon — Rcm · (757) 327-4843
Other names Coliseum Pediatric Dentistry Surgery Center
NPI enumeratedApril 22, 2024
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address2113 Hartford Rd, Hampton, VA 23666-2575

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