| M Kent Kiser, Dds, Ltd | |
| 
					1151 E Main St Ste C Radford VA 24141-1761  | |
| (540) 639-0111 | |
| (540) 639-6111 | 
| Full Name | M Kent Kiser, Dds, Ltd | 
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics | 
| Location | 1151 E Main St Ste C, Radford, Virginia | 
| Authorized Official Name and Position | Marshall Kent Kiser (PRESIDENT/OWNER) | 
| Authorized Official Contact | 5406390111 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| M Kent Kiser, Dds, Ltd 1151 E Main St Ste C Radford VA 24141-1761 Ph: (540) 639-0111  | M Kent Kiser, Dds, Ltd 1151 E Main St Ste C Radford VA 24141-1761 Ph: (540) 639-0111  | 
| NPI Number | 1770140030 | 
|---|---|
| Provider Enumeration Date | 05/22/2019 | 
| Last Update Date | 05/22/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770140030 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary | 
Radford Family Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1151 E Main St, Suite A, Radford, VA 24141 Phone: 540-639-1674  |