| H. Neal Davis D. D. S., P. C. | |
|
518 Powell Ave E Big Stone Gap VA 24219-2346 | |
| (276) 523-2691 | |
| (276) 523-2694 |
| Full Name | H. Neal Davis D. D. S., P. C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 518 Powell Ave E, Big Stone Gap, Virginia |
| Authorized Official Name and Position | Herbert Neal Davis (PRESIDENT) |
| Authorized Official Contact | 2765232691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H. Neal Davis D. D. S., P. C. 518 Powell Ave E Big Stone Gap VA 24219-2346 Ph: (276) 523-2691 | H. Neal Davis D. D. S., P. C. 518 Powell Ave E Big Stone Gap VA 24219-2346 Ph: (276) 523-2691 |
| NPI Number | 1578587168 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578587168 | NPI | - | NPPES |
| 9178572 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401004224 (Virginia) | Primary |
Powell Valley Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 3rd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-0931 Fax: 276-523-0932 |