Roanoke Smiles Youth Dentistry, Llc

LBN: Roanoke Smiles Youth Dentistry, Llc
Roanoke Smiles Youth Dentistry, Llc is an health care organization with primary practice located at 5002 Airport Rd Nw Unit 130, Roanoke VA 24012-1608. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Roanoke Smiles Youth Dentistry, Llc can be contacted via phone (540) 362-5437, or through Stump, Jenell via phone (615) 750-0343.

Contact Information

Primary practice address
5002 Airport Rd Nw Unit 130 Roanoke VA 24012-1608
Phone: (540) 362-5437
Fax: (540) 362-8997
Website:
Map and Directions
Authorized official contact:
Name: Stump, Jenell
Phone: (615) 750-0343

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1851489116
LBN Legal business name Roanoke Smiles Youth Dentistry, Llc
DBA Doing business as
Authorized official Stump, Jenell
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 9th, 2014 - about 12 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 1851489116 NPPES
Virginia MEDICAID 109481

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