Coastal Pediatric Dental & Anesthesia

LBN: Jillian Reynolds, Dds & Jonathan L Wong, Dmd , Pllc
Coastal Pediatric Dental & Anesthesia is an health care organization with primary practice located at 6161 Kempsville Cir Suite 345, Norfolk VA 23502-3932. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist Anesthesiologist is the primary health care specialty. Jillian Reynolds, Dds & Jonathan L Wong, Dmd , Pllc can be contacted via phone (602) 799-1748, or through Wong, Jonathan Lawrence via phone (602) 799-1748.

Contact Information

Primary practice address
6161 Kempsville Cir Suite 345 Norfolk VA 23502-3932
Phone: (602) 799-1748
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wong, Jonathan Lawrence Doctor of Dental Medicine (DMD)
Phone: (602) 799-1748

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401414467 Virginia
Dental Providers / Dentist Anesthesiologist 1223D0004X 0447000045 Virginia
Dental Providers / Pediatric Dentistry 1223P0221X 0401413751 Virginia

Profile Details

NPI number 1184155962
LBN Legal business name Jillian Reynolds, Dds & Jonathan L Wong, Dmd , Pllc
DBA Doing business as Coastal Pediatric Dental & Anesthesia
Authorized official Wong, Jonathan Lawrence Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2017
Last updated Feb 17th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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