DR. LEE BALDWIN KREGER, D.D.S. - NPI NUMBER 1336571009

Summary

Provider Name: DR. LEE BALDWIN KREGER, D.D.S.

NPI Number: 1336571009

Clasification: Dentist (1223G0001X)

Specialization: General Practice

Address:
4346 STARKEY RD
SUITE 3
ROANOKE, VA
ZIP 24018

Phone Number: (540) 989-3321



Detailed Information

DR. Lee Baldwin Kreger, D.D.S. is a general practice dentist in Roanoke, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. The assigned NPI number for this provider is 1336571009 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

4346 STARKEY RD
SUITE 3
ROANOKE, VA
ZIP 24018-605
Phone: (540) 989-3321

The enumeration date for this NPI number is 8/5/2013 and was last updated on 7/15/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 1223G0001X Dentist General Practice 0401414419 VA Yes

NPI Record

No. Field Name Field Value
1 NPI 1336571009
2 Entity Type Code 1
3 Provider Last Name Legal Name KREGER
4 Provider First Name LEE
5 Provider Middle Name BALDWIN
6 Provider Name Prefix Text DR.
7 Provider Credential Text D.D.S.
8 Provider First Line Business Practice Location Address 4346 STARKEY RD
9 Provider Second Line Business Practice Location Address SUITE 3
10 Provider Business Practice Location Address City Name ROANOKE
11 Provider Business Practice Location Address State Name VA
12 Provider Business Practice Location Address Postal Code 240180605
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 5409893321
15 Provider Enumeration Date 8/5/2013
16 Last Update Date 7/15/2014
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 1223G0001X
19 Provider License Number 1 0401414419
20 Provider License Number State Code 1 VA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.