# LONG RIDGE DENTISTRY, PC

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

## Provider details

- **NPI number:** 1083225429
- **Authorized official:** HANNAH MABE DDS (PRESIDENT)
- **Authorized official phone:** (434) 249-8606

## Contact information

- **Practice address:** 2780 STUARTS DRAFT HWY STE 102, STUARTS DRAFT, VA 24477-2779
- **Practice address phone:** (540) 337-2400
- **Practice address fax:** (540) 337-4090
- **Mailing address:** 357 WINDIGROVE DR APT 326, WAYNESBORO, VA 22980-7500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2020
- **Last updated:** 08/10/2020
