Lee Family Dental Plc | |
153 E Morgan Ave Pennington Gap VA 24277-2643 | |
(276) 546-2042 | |
(276) 546-3029 |
Full Name | Lee Family Dental Plc |
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Speciality | Dentist - General Practice |
Location | 153 E Morgan Ave, Pennington Gap, Virginia |
Authorized Official Name and Position | Stephen Ross Shelburne (OWNER) |
Authorized Official Contact | 2765462042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lee Family Dental Plc 153 E Morgan Ave Pennington Gap VA 24277-2643 Ph: (276) 546-2042 | Lee Family Dental Plc 153 E Morgan Ave Pennington Gap VA 24277-2643 Ph: (276) 546-2042 |
NPI Number | 1730336173 |
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Provider Enumeration Date | 08/27/2008 |
Last Update Date | 10/01/2012 |
Identifier | Type | State | Issuer |
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1730336173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 0401412170 (Virginia) | Primary |
Roy S. Shelburne, Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 E Morgan Ave, Pennington Gap, VA 24277 Phone: 276-546-2042 Fax: 276-546-3029 |