Organization · Type 2 NPI

Real Life Dental of Roanoke PLLC

General Practice Dentistry · Roanoke, VA

NPI number 1770249757 Active

Practice location

2945 Peters Creek Rd NW
Roanoke, VA 24019-3513

Call (540) 562-4001 Map

Mailing address

PO Box 604342
Charlotte, NC 28260-4342

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6 other providers at this address

Other general practice dentistry providers in Roanoke

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NPI record

NPI: 1770249757
Entity type: Organization (Type 2)
Issued: Nov 13, 2021
Last updated: Oct 22, 2026
Status: Active

Other names

Real Life Dental · doing business as
Drs. Harrison & Ryan - Peters Creek Dentistry, PLLC · former legal business name
Peters Creek Family Dentistry · other name

Authorized official

Kim Davis
RCM Director
(703) 568-5773

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.

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About NPI 1770249757

Real Life Dental of Roanoke PLLC's National Provider Identifier is 1770249757, issued on Nov 13, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Roanoke, VA. The record was last updated on Oct 22, 2026.