Organization
LONG RIDGE DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH MABE DDS (PRESIDENT)
(434) 249-8606
Entity
Organization
Contact information
Practice address
2780 STUARTS DRAFT HWY STE 102, STUARTS DRAFT, VA 24477-2779
(540) 337-2400
(540) 337-4090
Mailing address
357 WINDIGROVE DR APT 326, WAYNESBORO, VA 22980-7500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144714700
NPI
—
Enumeration date
08/10/2020
Last updated
08/10/2020
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