Roy S. Shelburne, Dds, Ltd | |
153 E Morgan Ave Pennington Gap VA 24277-2643 | |
(276) 546-2042 | |
(276) 546-3029 |
Full Name | Roy S. Shelburne, Dds, Ltd |
---|---|
Speciality | Dentist |
Location | 153 E Morgan Ave, Pennington Gap, Virginia |
Authorized Official Name and Position | Roy Silas Shelburne (PRESIDENT) |
Authorized Official Contact | 2765462042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roy S. Shelburne, Dds, Ltd 153 E Morgan Ave Pennington Gap VA 24277-2643 Ph: (276) 546-2042 | Roy S. Shelburne, Dds, Ltd 153 E Morgan Ave Pennington Gap VA 24277-2643 Ph: (276) 546-2042 |
NPI Number | 1992826804 |
---|---|
Provider Enumeration Date | 04/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992826804 | NPI | - | NPPES |
9177403 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0401-005798 (Virginia) | Primary |
Lee Family Dental Plc 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 |