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)
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.