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Contact Information

REAL LIFE DENTAL OF CHRISTIANSBURG, PLLC
100 QUIN W STUART BLVD NW
CHRISTIANSBURG, VA24073
 Phone: 540-418-6050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for REAL LIFE DENTAL OF CHRISTIANSBURG, PLLC

NPI Number 1285457879
LBN Legal business name REAL LIFE DENTAL OF CHRISTIANSBURG, PLLC
Authorized official DAMON THOMPSON - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2024
Last updated 11/05/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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