# HARVEY DENTISTRY NRKE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Ridge Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780932277
- **Authorized official:** DR. GREGORY TODD HARVEY DMD (PRESIDENT)
- **Authorized official phone:** (540) 904-0300

## Contact information

- **Practice address:** 5049 VALLEY VIEW BLVD NW STE C, ROANOKE, VA 24012-2075
- **Practice address phone:** (540) 904-0300
- **Mailing address:** 5049 VALLEY VIEW BLVD NW STE C, ROANOKE, VA 24012-2075
- **Mailing address phone:** (540) 904-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401410880 | VA | Yes |

## Other

- **Enumeration date:** 08/15/2012
- **Last updated:** 08/15/2012