Organization · Type 2 NPI

Andrew W Henritze DDS PLLC

Dental Clinic/Center · Roanoke, VA

NPI number 1104533660 Active

Practice location

3611 Brambleton Ave
Roanoke, VA 24018-3611

Call (540) 991-5151 Map

Fax (540) 202-9339

Mailing address

PO Box 52492
Phoenix, AZ 85072-2492

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

Other dental clinic/center providers in Roanoke

See all in Roanoke →

NPI record

NPI: 1104533660
Entity type: Organization (Type 2)
Issued: Nov 3, 2022
Last updated: Jun 18, 2025
Status: Active
Subpart: Yes of Andrew W Henritze DDS PLLC

Other names

<unavail>
Southwest Virginia Pediatric Dentistry · doing business as
Southwest Virginia Pediatric Dentistry · doing business as

Authorized official

Rebecca Hawkins Harris
Accounts Receiveable Analyst
(544) 077-6655

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104533660

Andrew W Henritze DDS PLLC's National Provider Identifier is 1104533660, issued on Nov 3, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Roanoke, VA. The record was last updated on Jun 18, 2025.