| Ronald W Householder Dds Pllc | |
|
316 Ben Bolt Ave Tazewell VA 24651-5386 | |
| (276) 988-7522 | |
| (276) 988-5866 |
| Full Name | Ronald W Householder Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 316 Ben Bolt Ave, Tazewell, Virginia |
| Authorized Official Name and Position | Ronald Wayne Householder (OWNER/DENTIST) |
| Authorized Official Contact | 2769887522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald W Householder Dds Pllc Po Box 542 North Tazewell VA 24630-0542 Ph: (276) 988-7522 | Ronald W Householder Dds Pllc 316 Ben Bolt Ave Tazewell VA 24651-5386 Ph: (276) 988-7522 |
| NPI Number | 1255834610 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 03/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255834610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401005792 (Virginia) | Primary |
Steven D Lutz Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N Central Ave, Tazewell, VA 24651 Phone: 276-988-4549 Fax: 276-988-4186 |