Organization
HARVEY DENTISTRY NRKE
Active
Other names
Blue Ridge Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY TODD HARVEY DMD (PRESIDENT)
(540) 904-0300
Entity
Organization
Contact information
Practice address
5049 VALLEY VIEW BLVD NW STE C, ROANOKE, VA 24012-2075
(540) 904-0300
Mailing address
5049 VALLEY VIEW BLVD NW STE C, ROANOKE, VA 24012-2075
(540) 904-0300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401410880
VA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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