ROANOKE PEDIATRIC DENTISTRY LLC NPI 1255841433

NPI Information

ROANOKE PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Roanoke, VA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ROANOKE PEDIATRIC DENTISTRY, LLC NPI is 1255841433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6112 PETERS CREEK RD
ROANOKE, VA
ZIP 24019-028
Phone: (540) 563-1660

The provider's authorized official is Corey Joe Sheppard .
The authorized official title is Owner and has the following contact phone number (540) 563-1660.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 10/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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