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ANDREW W HENRITZE DDS PLLC NPI 1710478110


NPI Information

NPI: 1710478110
Provider Name: ANDREW W HENRITZE DDS PLLC

Doing Business As: HENRITZE DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 49D2192711

Address:
3611 BRAMBLETON AVE
ROANOKE, VA
ZIP 24018
Phone: (330) 951-9153
Get Directions

ANDREW W HENRITZE DDS PLLC 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. ANDREW W HENRITZE DDS PLLC NPI is 1710478110. The provider is registered as an organization entity type.
The provider Is Doing Business As Henritze Dental Group.

The provider's business location address is:

3611 BRAMBLETON AVE
ROANOKE, VA
ZIP 24018-611
Phone: (330) 951-9153
Fax: (888) 817-9032

The provider's authorized official is Rebecca Hawkins Harris .
The authorized official title is Accounts Receivable Analyst and has the following contact phone number (540) 776-6555.

The CLIA number assigned to this NPI record is 49D2192711 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2018 and was last updated on 9/14/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalNo
21223G0001XDentistGeneral Practice041008724VIRGINIAYes

What is NPI?

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: 4/28/2024

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.