# MARTINSVILLE FAMILY DENTISTRY PC

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

## Provider details

- **NPI number:** 1619356623
- **Authorized official:** MRS. CATHY HARRIS (OFFICE MANAGER)
- **Authorized official phone:** (276) 632-6219

## Contact information

- **Practice address:** 25 CLEVELAND AVE, SUITE A, MARTINSVILLE, VA 24112-2935
- **Practice address phone:** (276) 632-6219
- **Practice address fax:** (276) 632-8356
- **Mailing address:** 25 CLEVELAND AVE, SUITE A, MARTINSVILLE, VA 24112-2935
- **Mailing address phone:** (276) 632-6219
- **Mailing address fax:** (276) 632-8356

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/22/2015