Organization
DR G SPRINKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT M SPRINKLE DDS (DENTIST)
(540) 389-0330
Entity
Organization
Contact information
Practice address
511 BOULEVARD, SALEM, VA 24153-5032
(540) 389-0330
(540) 387-0746
Mailing address
511 BOULEVARD, SALEM, VA 24153-5032
(540) 389-0330
(540) 387-0746
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
0401003065
VA
261QD0000X
Dental Clinic/Center
Primary
0401005779
VA
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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