# WILLIAMSON ROAD DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SIMPLY STRAIGHT, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306290937
- **Legal business name:** SIMPLY STRAIGHT, P.C.
- **Authorized official:** DR. HENRY NARDEA D.D.S. (MEMBER)
- **Authorized official phone:** (732) 859-3353

## Contact information

- **Practice address:** 1502 WILLIAMSON RD NE, SUITE C, ROANOKE, VA 24012-5130
- **Practice address phone:** (540) 339-9338
- **Practice address fax:** (540) 400-0525
- **Mailing address:** 12 ALVORD ST, OAKHURST, NJ 07755-1152
- **Mailing address phone:** (732) 859-3353
- **Mailing address fax:** (732) 222-1149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2016
- **Last updated:** 04/20/2016