PARKWAY PEDIATRIC DENTISTRY
NPI 1467052019
Dentist - Pediatric Dentistry in Roanoke, VA

Active since October 31, 2020
3650 COLONIAL AVE, ROANOKE, VA 24018(540) 989-3639 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2020, Oct 31, 2020 (2 updates tracked since 2020).

About Parkway Pediatric Dentistry NPPES

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

PARKWAY PEDIATRIC DENTISTRY (NPI 1467052019) is a healthcare organization registered as a pediatric dentistry in Roanoke, Virginia and active in the NPI registry since October 2020. The organization lists Ryan R Reopelle, Member, as its authorized official.

NPPES Registry Identity

NPI1467052019
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePARKWAY PEDIATRIC DENTISTRY, PLLC
Location Address3650 COLONIAL AVERoanoke, VA 24018-4004
Mailing Address5907 Cavalier DrRoanoke, VA 24018-3863 · (701) 212-7428
Organization SubpartNo
Authorized OfficialRyan R ReopelleMember · (701) 212-7428
Enumeration DateOctober 31, 2020
Last NPPES UpdateNovember 2, 20202 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
NPI 1467052019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3650 COLONIAL AVE, Roanoke, VA 24018

Other Names 1

Doing Business AsParkway Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Dentist (Pediatric Dentistry)
3650 COLONIAL AVE
ROANOKE, VA 24018
Dentist (Pediatric Dentistry)
3650 COLONIAL AVE
ROANOKE, VA 24018

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 Parkway Pediatric Dentistry, PLLC's NPI number?

The NPI number for Parkway Pediatric Dentistry, PLLC is 1467052019. It was assigned to this organization in the NPPES registry on October 31, 2020. The provider is doing business as Parkway Pediatric Dentistry.

Where is Parkway Pediatric Dentistry, PLLC located?

Parkway Pediatric Dentistry, PLLC is located at 3650 Colonial Ave, Roanoke, VA 24018. The listed phone number is (540) 989-3639.

What is Parkway Pediatric Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Parkway Pediatric Dentistry, PLLC was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.