| Shenandoah Valley Implant Institute Of Winchester | |
|
1705 Amherst St Ste 202 Winchester VA 22601-3346 | |
| (540) 662-6400 | |
| (540) 662-8681 |
| Full Name | Shenandoah Valley Implant Institute Of Winchester |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1705 Amherst St Ste 202, Winchester, Virginia |
| Authorized Official Name and Position | Jeff L Dickson (OWNER) |
| Authorized Official Contact | 5406626400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Valley Implant Institute Of Winchester 1705 Amherst St Ste 202 Winchester VA 22601-3346 Ph: (540) 662-6400 | Shenandoah Valley Implant Institute Of Winchester 1705 Amherst St Ste 202 Winchester VA 22601-3346 Ph: (540) 662-6400 |
| NPI Number | 1255916433 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255916433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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