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

Courthouse Pediatric Dentistry PLLC

Organization Dental Clinic/Center · NPI 1790573731

Courthouse Pediatric Dentistry PLLC is a Dental Clinic/Center in Gloucester, Virginia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6750 Main St
Gloucester, VA 23061-5517
Phone: (804) 695-2575
Fax: (804) 695-2815
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1790573731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Cannon — Rcm · (804) 695-2575
Other names Gloucester Pd
NPI enumeratedApril 29, 2025
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address6750 Main St, Gloucester, VA 23061-5517