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ROANOKE PEDIATRIC DRE LLC
NPI 1659076685
Dentist - Pediatric Dentistry in Hollins, VA

Active since March 31, 2023
6112 PETERS CREEK RD, HOLLINS, VA 24019(859) 785-8312 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roanoke Pediatric Dre Llc NPPES

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

ROANOKE PEDIATRIC DRE LLC (NPI 1659076685) is a healthcare organization registered as a pediatric dentistry in Hollins, Virginia and active in the NPI registry since March 2023. The organization lists James Gregory White, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659076685
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameROANOKE PEDIATRIC DRE LLC
Location Address6112 PETERS CREEK RDHollins, VA 24019-4028
Mailing Address105 Spruce StLexington, KY 40507-2109
Phone(859) 785-8312
Organization SubpartNo
Authorized OfficialJames Gregory WhiteCeo · (859) 785-8312
Enumeration DateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1659076685 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.
6112 PETERS CREEK RD, Hollins, VA 24019
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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

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

ROANOKE PEDIATRIC DENTISTRY, LLC
Dentist (Pediatric Dentistry)
6112 PETERS CREEK RD
ROANOKE, VA 24019
Roanoke County (540) 563-1660

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 Roanoke Pediatric Dre LLC's NPI number?

The NPI number for Roanoke Pediatric Dre LLC is 1659076685. It was assigned to this organization in the NPPES registry on March 31, 2023.

Where is Roanoke Pediatric Dre LLC located?

Roanoke Pediatric Dre LLC is located at 6112 Peters Creek Rd, Hollins, VA 24019. The listed phone number is (859) 785-8312.

What is Roanoke Pediatric Dre LLC'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 Roanoke Pediatric Dre LLC was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.