OrganizationActive
Roanoke Pediatric Dentistry, LLC
NPI 1255841433 · Pediatric Dentistry · Roanoke, VA
Roanoke Pediatric Dentistry, LLC is a Pediatric Dentistry organization in Roanoke, VA (NPI 1255841433).
Provider details
- NPI number
- 1255841433
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Corey Sheppard, Owner(540) 563-1660
- License
- 0401413481 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6112 Peters Creek Rd
Roanoke, VA 24019-4028
Phone: (540) 563-1660
Street-level locationGet directions
Mailing address
6112 Peters Creek Rd
Roanoke, VA 24019-4028
Registry dates
- Enumerated
- 2017-10-02
- Last updated
- 2017-10-02
Frequently asked questions
- What is Roanoke Pediatric Dentistry, LLC's NPI number?
- Roanoke Pediatric Dentistry, LLC's National Provider Identifier (NPI) is 1255841433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roanoke Pediatric Dentistry, LLC?
- Roanoke Pediatric Dentistry, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Roanoke Pediatric Dentistry, LLC located?
- Roanoke Pediatric Dentistry, LLC's practice location on file with NPPES is 6112 Peters Creek Rd, Roanoke, VA 24019-4028.
- What is Roanoke Pediatric Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Roanoke Pediatric Dentistry, LLC is (540) 563-1660.
- Who is the authorized official for Roanoke Pediatric Dentistry, LLC?
- The authorized official listed on Roanoke Pediatric Dentistry, LLC's NPPES record is Corey Sheppard, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roanoke Pediatric Dentistry, LLC's NPI active?
- Yes — Roanoke Pediatric Dentistry, LLC's NPI (1255841433) is active in the NPPES registry as of the last update on 2017-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.