Organization Active NPI

Morrison Dental Group Portsmouth PLLC

  • Dental Clinic/Center
  • Portsmouth, VA
National Provider Identifier
1124748280
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MORRISON DENTAL GROUP PORTSMOUTH PLLC
Practice address
1305 Rodman Ave
Portsmouth, VA 23707-3916
Phone
(757) 397-3296
Fax
(757) 397-0893
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Celeste Vaughn
Title
Executive Assistant
Phone
(757) 258-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1305 Rodman Ave
Portsmouth, VA 23707-3916

Mailing address

7151 Richmond Rd Ste 305
Williamsburg, VA 23188-7234
Phone (757) 258-7778

National Provider Directory

National Provider Directory

Locations

1305 Rodman Ave
Portsmouth, VA 23707
Phone (757) 239-6273

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1124748280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 RICHMOND RD STE 305",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887234",
            "telephone_number": "757-258-7778",
            "fax_number": "757-258-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 RODMAN AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073916",
            "telephone_number": "757-397-3296",
            "fax_number": "757-397-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON DENTAL GROUP PORTSMOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "757-258-7778",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.