| Positiviteeth PLLC | |
|
1900 Electric Rd Salem VA 24153-7474 | |
| (540) 512-0088 | |
| Not Available |
| Full Name | Positiviteeth PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1900 Electric Rd, Salem, Virginia |
| Authorized Official Name and Position | Jessaca Charite (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5405120088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positiviteeth PLLC Po Box 6101 Roanoke VA 24017-0101 Ph: (540) 512-0088 | Positiviteeth PLLC 1900 Electric Rd Salem VA 24153-7474 Ph: (540) 512-0088 |
| NPI Number | 1356097463 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356097463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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