SOUTH HOLSTON DENTAL DESIGNS
NPI 1871010850
Clinic/Center - Dental in Bristol, VA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

Active since August 29, 2017

15325 LEE HWY, BRISTOL, VA 24202(276) 466-9800(276) 591-5959 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Aug 29, 2017 (3 updates tracked since 2017).

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Dental

About SOUTH HOLSTON DENTAL DESIGNS

This page provides the complete NPI Profile along with additional information for South Holston Dental Designs, a provider established in Bristol, Virginia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1871010850 assigned on August 2017. The practitioner's primary taxonomy code is 261QD0000X with license number 0401008559 (VA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mrs. Valeria Miller (Accounting)

NPI: 1871010850 Verify this NPI
Provider Name: SOUTH HOLSTON DENTAL DESIGNS
Entity Type: Organization
Location Address: 15325 LEE HWY BRISTOL, VA 24202
Location Phone: (276) 466-9800
Location Fax: (276) 591-5959
Mailing Address: 15325 LEE HWY BRISTOL, VA 24202
Mailing Phone: (276) 466-9800
Mailing Fax: (276) 591-5959
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-29-2017
Last Update Date: 07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Dental
Taxonomy Code: 261QD0000X
Type: Ambulatory Health Care Facilities
License No.: 0401008559
License State: VA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MRS. VALERIA MILLER
Authorized Official Title: ACCOUNTING
Authorized Official Phone: (276) 466-9800