Individual
DR. JOHN DICKERSON SEMONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1151 E MAIN ST, SUITE A, RADFORD, VA 24141-1761
(540) 639-1674
(540) 639-9205
Mailing address
1151 E MAIN ST, SUITE A, RADFORD, VA 24141-1761
(540) 639-1674
(540) 639-9205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401003781
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076260
ANTHEM BC/BS
VA
05
—
9179639
—
VA
Enumeration date
10/20/2006
Last updated
07/08/2007
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