Powell Valley Dental | |
407 3rd Ave E Big Stone Gap VA 24219-2365 | |
(276) 523-0931 | |
(276) 523-0932 |
Full Name | Powell Valley Dental |
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Speciality | Dentist - General Practice |
Location | 407 3rd Ave E, Big Stone Gap, Virginia |
Authorized Official Name and Position | Samantha Allred (SECRETARY) |
Authorized Official Contact | 7608076632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Powell Valley Dental 407 3rd Ave E Big Stone Gap VA 24219-2365 Ph: (276) 523-0931 | Powell Valley Dental 407 3rd Ave E Big Stone Gap VA 24219-2365 Ph: (276) 523-0931 |
NPI Number | 1902490840 |
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Provider Enumeration Date | 02/22/2021 |
Last Update Date | 08/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902490840 | NPI | - | NPPES |
1679834287 | Other | VA | DENTAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
H. Neal Davis D. D. S., P. C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Powell Ave E, Big Stone Gap, VA 24219 Phone: 276-523-2691 Fax: 276-523-2694 |