Roanoke Pediatric Dentistry, Llc - Dental Clinic in Roanoke, VA

Roanoke Pediatric Dentistry, Llc is a dental clinic (Dentist - Pediatric Dentistry) in Roanoke, Virginia. The current practice location for Roanoke Pediatric Dentistry, Llc is 6112 Peters Creek Rd, Roanoke, Virginia. For appointments, you can reach them via phone at (540) 563-1660. The mailing address for Roanoke Pediatric Dentistry, Llc is 6112 Peters Creek Rd, Roanoke, Virginia and phone number is (540) 563-1660.

Roanoke Pediatric Dentistry, Llc is licensed to practice in Virginia (license number 0401413481) and its NPI number is 1255841433. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (540) 563-1660.

Contact Information

Roanoke Pediatric Dentistry, Llc
6112 Peters Creek Rd
Roanoke
VA 24019-4028
(540) 563-1660
Not Available

Dental Care Clinic Profile

Full NameRoanoke Pediatric Dentistry, Llc
SpecialityDentist - Pediatric Dentistry
Location6112 Peters Creek Rd, Roanoke, Virginia
Authorized Official Name and PositionCorey Joe Sheppard (OWNER)
Authorized Official Contact5405631660
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roanoke Pediatric Dentistry, Llc
6112 Peters Creek Rd
Roanoke
VA 24019-4028

Ph: (540) 563-1660
Roanoke Pediatric Dentistry, Llc
6112 Peters Creek Rd
Roanoke
VA 24019-4028

Ph: (540) 563-1660

NPI Details:

NPI Number1255841433
Provider Enumeration Date10/02/2017
Last Update Date10/02/2017

Medical Identifiers

Medical identifiers for Roanoke Pediatric Dentistry, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255841433NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 0401413481 (Virginia)Primary

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