Commonwealth Dental Clinic Inc

LBN: Commonwealth Dental Clinic Inc
Commonwealth Dental Clinic Inc is an health care organization with primary practice located at 1121 S Jefferson St , Roanoke VA 24016-4703. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Commonwealth Dental Clinic Inc can be contacted via phone (540) 685-0028, or through Davis, Kim via phone (703) 568-5773.

Contact Information

Primary practice address
1121 S Jefferson St Roanoke VA 24016-4703
Phone: (540) 685-0028
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Kim
Phone: (703) 568-5773

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 0401410880 Virginia

Profile Details

NPI number 1144641309
LBN Legal business name Commonwealth Dental Clinic Inc
DBA Doing business as
Authorized official Davis, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2013
Last updated Aug 26th, 2026 - about 3 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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