KFD VIRGINIA INC NPI 1659844538

NPI Information

  • NPI: 1659844538
  • Provider Name: KFD VIRGINIA INC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: KIDS FIRST DENTAL
  • Address: 4903 STARKEY RD STE 300
    ROANOKE, VA
    ZIP 24018
  • Phone: (540) 904-2700

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NPI Details

KFD VIRGINIA INC is a dental clinic center in Roanoke, VA. KFD VIRGINIA INC NPI is 1659844538. The provider is registered as an organization entity type.
The provider Is Doing Business As Kids First Dental.

The provider's business location address is:

4903 STARKEY RD STE 300
ROANOKE, VA
ZIP 24018-525
Phone: (540) 904-2700
Fax: (540) 904-2760

The provider's authorized official is Robert Haber Ellis .
The authorized official title is Owner and has the following contact phone number (803) 413-5100.

The enumeration date for this NPI number is 1/3/2019 and was last updated on 4/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZX3691MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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