| Parkway Pediatric Dentistry | |
|
3650 Colonial Ave Roanoke VA 24018-4004 | |
| (540) 989-3639 | |
| Not Available |
| Full Name | Parkway Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3650 Colonial Ave, Roanoke, Virginia |
| Authorized Official Name and Position | Ryan R Reopelle (MEMBER) |
| Authorized Official Contact | 7012127428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Pediatric Dentistry 5907 Cavalier Dr Roanoke VA 24018-3863 Ph: (701) 212-7428 | Parkway Pediatric Dentistry 3650 Colonial Ave Roanoke VA 24018-4004 Ph: (540) 989-3639 |
| NPI Number | 1467052019 |
|---|---|
| Provider Enumeration Date | 10/31/2020 |
| Last Update Date | 11/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467052019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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