# DRS. HARRISON & RYAN - PETERS CREEK DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peters Creek Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770249757
- **Authorized official:** CHAD HENDRICKS (CREDENTIALING)
- **Authorized official phone:** (612) 859-0444

## Contact information

- **Practice address:** 2945 PETERS CREEK RD NW, ROANOKE, VA 24019-3513
- **Practice address phone:** (540) 562-4001
- **Mailing address:** 2945 PETERS CREEK RD NW, ROANOKE, VA 24019-3513
- **Mailing address phone:** (540) 562-4001

## Taxonomy

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

## Other

- **Enumeration date:** 11/13/2021
- **Last updated:** 11/13/2021