# DR G SPRINKLE

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

## Provider details

- **NPI number:** 1588805808
- **Authorized official:** DR. GRANT M SPRINKLE DDS (DENTIST)
- **Authorized official phone:** (540) 389-0330

## Contact information

- **Practice address:** 511 BOULEVARD, SALEM, VA 24153-5032
- **Practice address phone:** (540) 389-0330
- **Practice address fax:** (540) 387-0746
- **Mailing address:** 511 BOULEVARD, SALEM, VA 24153-5032
- **Mailing address phone:** (540) 389-0330
- **Mailing address fax:** (540) 387-0746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401003065 | VA | — |
| 261QD0000X | Dental Clinic/Center | 0401005779 | VA | Yes |

## Other

- **Enumeration date:** 03/17/2009
- **Last updated:** 03/17/2009