| Long Ridge Dentistry, Pc | |
|
2780 Stuarts Draft Hwy Ste 102 Stuarts Draft VA 24477-2779 | |
| (540) 337-2400 | |
| (540) 337-4090 |
| Full Name | Long Ridge Dentistry, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2780 Stuarts Draft Hwy Ste 102, Stuarts Draft, Virginia |
| Authorized Official Name and Position | Hannah Mabe (PRESIDENT) |
| Authorized Official Contact | 4342498606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Ridge Dentistry, Pc 357 Windigrove Dr Apt 326 Waynesboro VA 22980-7500 Ph: () - | Long Ridge Dentistry, Pc 2780 Stuarts Draft Hwy Ste 102 Stuarts Draft VA 24477-2779 Ph: (540) 337-2400 |
| NPI Number | 1083225429 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083225429 | NPI | - | NPPES |
| 1144714700 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
James W Willis Iv Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2927 Stuarts Draft Hwy Ste 105, Stuarts Draft, VA 24477 Phone: 540-414-8423 |