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.
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:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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