| Collinsville Dental Associates, Pc | |
|
4940 Kings Mountain Rd Collinsville VA 24078-1812 | |
| (276) 634-1494 | |
| Not Available |
| Full Name | Collinsville Dental Associates, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4940 Kings Mountain Rd, Collinsville, Virginia |
| Authorized Official Name and Position | Sandra Dillon Payne (ADMINISTRATOR) |
| Authorized Official Contact | 4345484305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collinsville Dental Associates, Pc 5003 Cobblestone Drive Danville VA 24540-5255 Ph: (434) 548-5105 | Collinsville Dental Associates, Pc 4940 Kings Mountain Rd Collinsville VA 24078-1812 Ph: (276) 634-1494 |
| NPI Number | 1013559327 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 10/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013559327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Pediatric Dental Care Of Virginia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5126 King's Mountain Road, Collinsville, VA 24078 Phone: 276-647-2033 Fax: 276-647-2034 |