ROANOKE SMILES YOUTH DENTISTRY, LLC
NPI 1851489116
Dentist - General Practice in Roanoke, VA

Active since October 11, 2006
5002 AIRPORT RD NW, UNIT 130, ROANOKE, VA 24012(540) 362-5437(540) 362-8997 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roanoke Smiles Youth Dentistry, Llc NPPES

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

ROANOKE SMILES YOUTH DENTISTRY, LLC (NPI 1851489116) is a healthcare organization registered as a general practice in Roanoke, Virginia and active in the NPI registry since October 2006. The organization lists Jenell Stump, Manager, as its authorized official.

NPPES Registry Identity

NPI1851489116
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROANOKE SMILES YOUTH DENTISTRY, LLC
Location Address5002 AIRPORT RD NW, UNIT 130Roanoke, VA 24012-1608
Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705
Fax(540) 362-8997
Organization SubpartNo
Authorized OfficialJenell StumpManager · (615) 750-0343
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 9, 2014
NPI 1851489116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
5002 AIRPORT RD NW, Roanoke, VA 24012

Other Identifiers 1

Medicaid109481VA

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 7

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

Dentist (General Practice)
5002 AIRPORT RD NW
ROANOKE, VA 24012
Dentist (Dentist Anesthesiologist)
5002 AIRPORT RD NW
ROANOKE, VA 24012
Dentist (General Practice)
5002 AIRPORT RD NW, UNIT 130
ROANOKE, VA 24012
Dentist (General Practice)
5002 AIRPORT RD NW, UNIT 130
ROANOKE, VA 24012
Dentist (General Practice)
5002 AIRPORT RD NW, UNIT 130
ROANOKE, VA 24012
Dentist (General Practice)
5002 AIRPORT RD NW, UNIT 130
ROANOKE, VA 24012
Dentist (General Practice)
5002 AIRPORT RD NW, UNIT #130
ROANOKE, VA 24012

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 Smiles Youth Dentistry, LLC's NPI number?

The NPI number for Roanoke Smiles Youth Dentistry, LLC is 1851489116. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Roanoke Smiles Youth Dentistry, LLC located?

Roanoke Smiles Youth Dentistry, LLC is located at 5002 Airport Rd NW Unit 130, Roanoke, VA 24012. The listed phone number is (540) 362-5437.

What is Roanoke Smiles Youth Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Roanoke Smiles Youth Dentistry, LLC was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.