# KFD VIRGINIA INC

> 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
- **Other names:** Kids First Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659844538
- **Authorized official:** ROBERT HABER ELLIS III DMD (OWNER)
- **Authorized official phone:** (803) 413-5100

## Contact information

- **Practice address:** 4903 STARKEY RD STE 300, ROANOKE, VA 24018-8525
- **Practice address phone:** (540) 904-2700
- **Practice address fax:** (540) 904-2760
- **Mailing address:** 4903 STARKEY RD STE 300, ROANOKE, VA 24018-8525
- **Mailing address phone:** (540) 904-2700
- **Mailing address fax:** (540) 904-2760

## Taxonomy

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

## Other

- **Enumeration date:** 01/03/2019
- **Last updated:** 04/10/2024