Organization
PERIODONTAL HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERMAN OWEN SMOCK D.D.S. (PRESIDENT)
(434) 455-2444
Entity
Organization
Contact information
Practice address
525 LEESVILLE RD, LYNCHBURG, VA 24502-2328
(434) 455-2444
(434) 237-2050
Mailing address
525 LEESVILLE RD, LYNCHBURG, VA 24502-2328
(434) 455-2444
(434) 237-2050
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
005531
VA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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