Town Center Pediatric Dentistry and Orthodontics

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TOWN CENTER PEDIATRIC DENTISTRY AND ORTHODONTICS

Doing business as

Town Center Pediatric Dentistry and Orthodontics

Practice address

4525 Columbus St
VA Beach, VA 23462-7793

Phone

(757) 369-1754

Fax

(757) 234-8891

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Christina L Cannon

Title

Revenue Cycle Management

Phone

(757) 869-9916

Specialties & licenses 1

Addresses

Other names 1

• Town Center Pediatric Dentistry and Orthodontics Doing business as

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1568218717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 COLUMBUS ST",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234627793",
            "telephone_number": "757-369-1754",
            "fax_number": "757-234-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 COLUMBUS ST",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234627793",
            "telephone_number": "757-369-1754",
            "fax_number": "757-234-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "757-869-9916"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Center Pediatric Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reena R Talreja-Pelaez, MD
• Roshan S Talreja, MD
• The Center for Restorative Cosmetic & Implant Dentistry
• The Faith Foundation
• Tidewater Physicians Multispecialty Group PC
• Linda Ann Trotman, M.D.
• Edita Untalan
• Vascular & Transplant Specialists PC
• Mark Taylor Vaughan, MD
• Elisa Vazquez

• Pediatric Dentistry in VA Beach, VA
• Providers in VA Beach, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.