# COLLINSVILLE DENTAL ASSOCIATES, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013559327
- **Authorized official:** SANDRA DILLON PAYNE (ADMINISTRATOR)
- **Authorized official phone:** (434) 548-4305

## Contact information

- **Practice address:** 4940 KINGS MOUNTAIN RD, COLLINSVILLE, VA 24078-1812
- **Practice address phone:** (276) 634-1494
- **Mailing address:** 5003 COBBLESTONE DRIVE, DANVILLE, VA 24540-5255
- **Mailing address phone:** (434) 548-5105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2019
- **Last updated:** 10/09/2019