Kenneth J. Cavallari, DDS, PC
Kenneth J. Cavallari, DDS, PC is a Periodontics in Virginia Beach, Virginia. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
984 First Colonial Rd Ste 300Virginia Beach, VA 23454-3196
Phone: (757) 412-0235
Fax: (757) 381-7123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X |
|---|
Record details
| NPI number | 1164305421 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jenny Garcia-Rocha — Sr Credentialing Team Lead · (972) 869-3789 |
| Other names | Tidewater Laser Perio & Implants |
| NPI enumerated | July 25, 2025 |
| Last updated in NPPES | July 25, 2025 |
| Certification date | July 25, 2025 |
| Mailing address | 984 First Colonial Rd Ste 300, Virginia Beach, VA 23454-3196 |
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