| Roanoke Pediatric Dre Llc | |
|
6112 Peters Creek Rd Hollins VA 24019-4028 | |
| (859) 785-8312 | |
| Not Available |
| Full Name | Roanoke Pediatric Dre Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6112 Peters Creek Rd, Hollins, Virginia |
| Authorized Official Name and Position | James Gregory White (CEO) |
| Authorized Official Contact | 8597858312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roanoke Pediatric Dre Llc 105 Spruce St Lexington KY 40507-2109 Ph: () - | Roanoke Pediatric Dre Llc 6112 Peters Creek Rd Hollins VA 24019-4028 Ph: (859) 785-8312 |
| NPI Number | 1659076685 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 03/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659076685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |