PERIODONTAL HEALTH ASSOCIATES NPI 1326371048

NPI Information

PERIODONTAL HEALTH ASSOCIATES is a periodontics dentist in Lynchburg, VA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTAL HEALTH ASSOCIATES NPI is 1326371048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

525 LEESVILLE RD
LYNCHBURG, VA
ZIP 24502-328
Phone: (434) 455-2444
Fax: (434) 237-2050

The provider's authorized official is Sherman Owen Smock .
The authorized official title is President and has the following contact phone number (434) 455-2444.

The CLIA number assigned to this NPI record is 49D2221080 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.

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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