Kids First Dental

LBN: Kfd Virginia Inc
Kids First Dental is an health care organization with primary practice located at 4903 Starkey Rd Ste 300 , Roanoke VA 24018-8525. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Kfd Virginia Inc can be contacted via phone (540) 904-2700, or through Ellis, Robert Haber via phone (803) 413-5100.

Contact Information

Primary practice address
4903 Starkey Rd Ste 300 Roanoke VA 24018-8525
Fax: (540) 904-2760
Website:
Authorized official contact:
Name: Ellis, Robert Haber Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1659844538
LBN Legal business name Kfd Virginia Inc
DBA Doing business as Kids First Dental
Authorized official Ellis, Robert Haber Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2019
Last updated Apr 10th, 2024 - about 2 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659844538 NPPES
South Carolina MEDICAID ZX3691

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