| Tazewell Dental Sleep Therapy,llc | |
|
316 Ben Bolt Ave Tazewell VA 24651-9703 | |
| (276) 979-5796 | |
| (276) 988-5866 |
| Full Name | Tazewell Dental Sleep Therapy,llc |
|---|---|
| Speciality | Dentist |
| Location | 316 Ben Bolt Ave, Tazewell, Virginia |
| Authorized Official Name and Position | Ronald Wayne Householder (OWNER) |
| Authorized Official Contact | 2769795796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tazewell Dental Sleep Therapy,llc 125 Ben Bolt Ave Tazewell VA 24651-9703 Ph: (276) 979-5796 | Tazewell Dental Sleep Therapy,llc 316 Ben Bolt Ave Tazewell VA 24651-9703 Ph: (276) 979-5796 |
| NPI Number | 1548506975 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548506975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401005792 (Virginia) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Ronald W Householder Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-7522 Fax: 276-988-5866 | |
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 |