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PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION NPI 1730225350


NPI Information

NPI: 1730225350
Provider Name: PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 49D0980881

Address:
23 FAYETTE STREET
MARTINSVILLE, VA
ZIP 24112
Phone: (276) 632-7727
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PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION is a dental clinic center in Martinsville, VA. PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION NPI is 1730225350. The provider is registered as an organization entity type.

The provider's business location address is:

23 FAYETTE STREET
MARTINSVILLE, VA
ZIP 24112
Phone: (276) 632-7727

The provider's authorized official is Mark Anderson Crabtree .
The authorized official title is President and has the following contact phone number (276) 632-9266.

The CLIA number assigned to this NPI record is 49D0980881 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.


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

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: 5/5/2024

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