# SWVA DENTAL SPECIALISTS

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

## Provider details

- **NPI number:** 1881353993
- **Authorized official:** KARA TRAIL (DIRECTOR OF OPERATION)
- **Authorized official phone:** (540) 588-7312

## Contact information

- **Practice address:** 4102 ELECTRIC RD, ROANOKE, VA 24018-0614
- **Practice address phone:** (540) 588-7312
- **Mailing address:** 4119 BRANDON AVE SW, ROANOKE, VA 24018-1203
- **Mailing address phone:** (540) 772-9515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2021
- **Last updated:** 05/16/2023