| Roy S. Shelburne, Dds, Ltd | |
|
153 E Morgan Ave Pennington Gap VA 24277-2643 | |
| (276) 546-2042 | |
| (276) 546-3029 |
| Full Name | Roy S. Shelburne, Dds, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 153 E Morgan Ave, Pennington Gap, Virginia |
| Authorized Official Name and Position | Roy Silas Shelburne (PRESIDENT) |
| Authorized Official Contact | 2765462042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy S. Shelburne, Dds, Ltd 153 E Morgan Ave Pennington Gap VA 24277-2643 Ph: (276) 546-2042 | Roy S. Shelburne, Dds, Ltd 153 E Morgan Ave Pennington Gap VA 24277-2643 Ph: (276) 546-2042 |
| NPI Number | 1992826804 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992826804 | NPI | - | NPPES |
| 9177403 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401-005798 (Virginia) | Primary |
Lee Family Dental Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 E Morgan Ave, Pennington Gap, VA 24277 Phone: 276-546-2042 Fax: 276-546-3029 |