| Dental Professionals Of Virginia, P.c. | |
|
3911 Challenger Ave Roanoke VA 24012-6733 | |
| (540) 581-8095 | |
| (540) 581-8096 |
| Full Name | Dental Professionals Of Virginia, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3911 Challenger Ave, Roanoke, Virginia |
| Authorized Official Name and Position | Cemyira Mcdougal (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2177648609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Virginia, P.c. 3911 Challenger Ave Roanoke VA 24012-6733 Ph: (540) 581-8095 | Dental Professionals Of Virginia, P.c. 3911 Challenger Ave Roanoke VA 24012-6733 Ph: (540) 581-8095 |
| NPI Number | 1790528784 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790528784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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