| Northeast Roanoke Dentistry | |
|
2913 Orange Ave Ne Roanoke VA 24012-6338 | |
| (540) 342-8781 | |
| Not Available |
| Full Name | Northeast Roanoke Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2913 Orange Ave Ne, Roanoke, Virginia |
| Authorized Official Name and Position | James Willis (CEO) |
| Authorized Official Contact | 3046855980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Roanoke Dentistry 6948 Welbourne Ln Crozet VA 22932-3346 Ph: (304) 685-5980 | Northeast Roanoke Dentistry 2913 Orange Ave Ne Roanoke VA 24012-6338 Ph: (540) 342-8781 |
| NPI Number | 1558078857 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558078857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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