Dinwiddie Pediatric Dentistry PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DINWIDDIE PEDIATRIC DENTISTRY PC

Practice address

6204 Duncan Rd
North Dinwiddie, VA 23803-7442

Phone

(804) 861-6464

NPI assigned

Feb 21, 2025

Organization subpart

No

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

Authorized official

Name

Benjamin Dunham, DMD

Title

Owner Dentist

Phone

(804) 748-5105

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Harley Page, DDS

  • Dentist
  • North Dinwiddie, VA
  • NPI 1811621360
  NPD
• James Keith Johnson, D.D.S.

  • General Practice Dentistry
  • Petersburg, VA
  • NPI 1770607616
  NPD (past)

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1902602840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 DUNCAN RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238037442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 DUNCAN RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238037442",
            "telephone_number": "804-861-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINWIDDIE PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "804-748-5105",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circle of Life Services LLC
• Carol Clay, PSY.D.
• Latrelle Coleman
• Shekayla Monae Coleman, LPN
• Kimberly Tanisha Davis-Biggs, PMHNP
• Divine Purpose
• Tiffany Loveday Droog, FNP-BC
• Dunham DDS of Dinwiddie, PC
• Lacresha Ellis
• Susan Emrick, NP

• Pediatric Dentistry in North Dinwiddie, VA
• Providers in North Dinwiddie, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.