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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COMMONWEALTH DENTAL CLINIC INC
NPI 1144641309
Clinic/Center - Dental in Roanoke, VA

Active since December 13, 2013
1121 S JEFFERSON ST, ROANOKE, VA 24016(540) 685-0028 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Commonwealth Dental Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMONWEALTH DENTAL CLINIC INC (NPI 1144641309), doing business as Commonwealth Dental Clinic, is a healthcare organization registered as a dental in Roanoke, Virginia and active in the NPI registry since December 2013. The organization lists Kim Davis, Rcm Director, as its authorized official.

NPPES Registry Identity

NPI1144641309
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOMMONWEALTH DENTAL CLINIC INC
Location Address1121 S JEFFERSON STRoanoke, VA 24016-4703
Mailing Address1121 S Jefferson StRoanoke, VA 24016-4703 · (540) 685-0028
Phone(540) 685-0028
Organization SubpartNo
Authorized OfficialKim DavisRcm Director · (703) 568-5773
Enumeration DateDecember 13, 2013
Last NPPES UpdateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1144641309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in VA · 0401410880
1121 S JEFFERSON ST, Roanoke, VA 24016
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Other Names 1

Doing Business AsCommonwealth Dental Clinic

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED FOOT AND ANKLE CENTER, PLLC
Podiatrist (Foot & Ankle Surgery)
1121 S JEFFERSON ST
ROANOKE, VA 24016
Roanoke City (540) 343-8755
ROBERT C. KEELEY M.D.
Internal Medicine (Pulmonary Disease)
1121 S JEFFERSON ST
ROANOKE, VA 24016
Roanoke City (540) 342-6701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Dental Clinic Inc's NPI number?

The NPI number for Commonwealth Dental Clinic Inc is 1144641309. It was assigned to this organization in the NPPES registry on December 13, 2013. The provider is doing business as Commonwealth Dental Clinic.

Where is Commonwealth Dental Clinic Inc located?

Commonwealth Dental Clinic Inc is located at 1121 S Jefferson St, Roanoke, VA 24016. The listed phone number is (540) 685-0028.

What is Commonwealth Dental Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Commonwealth Dental Clinic Inc was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.