Organization · Type 2 NPI
Long Ridge Dentistry, PC
Dental Clinic/Center · Stuarts Draft, VA
NPI number
1083225429
Active
Practice location
2780 Stuarts Draft Hwy Ste 102
Stuarts Draft, VA 24477-2779
Fax (540) 337-4090
Mailing address
357 Windigrove Dr Apt 326
Waynesboro, VA 22980-7500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1083225429
Long Ridge Dentistry, PC's National Provider Identifier is 1083225429, issued on Aug 10, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Stuarts Draft, VA. The record was last updated on Aug 10, 2020.