National Provider Identifier Database

ROANOKE COSALEM DENTAL CLINIC
Public Health or Welfare


Contact Information

ROANOKE CO/SALEM DENTAL CLINIC
105 E. CALHOUN STREET
SALEM, VA24153
Phone: 540-387-5530
Fax: 540-387-5524
Website:
Specialty Taxonomy Code
* Public Health or Welfare 251K00000X

* Indicates primary specialty

NPI Profile & details for ROANOKE CO/SALEM DENTAL CLINIC

NPI Number 1871680082
Legal business name
LBN
ROANOKE CO/SALEM DENTAL CLINIC
Authorized official SUSAN HOEL - (BUSINESS MANAGER A)
Entity Organization
Organization subpart No
Enumeration date 10/07/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 8450030

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ROANOKE CO/SALEM DENTAL CLINIC

There are currently no reviews for ROANOKE CO/SALEM DENTAL CLINIC


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