| Dr G Sprinkle | |
|
511 Boulevard Salem VA 24153-5032 | |
| (540) 389-0330 | |
| (540) 387-0746 |
| Full Name | Dr G Sprinkle |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 511 Boulevard, Salem, Virginia |
| Authorized Official Name and Position | Grant M Sprinkle (DENTIST) |
| Authorized Official Contact | 5403890330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr G Sprinkle 511 Boulevard Salem VA 24153-5032 Ph: (540) 389-0330 | Dr G Sprinkle 511 Boulevard Salem VA 24153-5032 Ph: (540) 389-0330 |
| NPI Number | 1588805808 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588805808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401003065 (Virginia) | Secondary |
| 261QD0000X | Clinic/center - Dental | 0401005779 (Virginia) | Primary |
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