| Russell County Dental Clinic | |
|
133 Highland Dr Ste A Lebanon VA 24266-7209 | |
| (276) 889-7621 | |
| (276) 889-7695 |
| Full Name | Russell County Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 133 Highland Dr Ste A, Lebanon, Virginia |
| Authorized Official Name and Position | Reisa Sloce (COO) |
| Authorized Official Contact | 2768897621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell County Dental Clinic Po Box 2347 Lebanon VA 24266-2347 Ph: (276) 889-7621 | Russell County Dental Clinic 133 Highland Dr Ste A Lebanon VA 24266-7209 Ph: (276) 889-7621 |
| NPI Number | 1265544332 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265544332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Justin Ferguson, D.d.s., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Highlands Drive, Lebanon, VA 24266 Phone: 276-889-5141 Fax: 276-889-0770 | |
Steve Ball Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Highland Drive, Lebanon, VA 24266 Phone: 276-889-5141 Fax: 276-889-0770 |