Organization
NEW RIVER VALLEY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN T MATTHEWS D.D.S. (MANAGER)
(719) 685-6879
Entity
Organization
Contact information
Practice address
1400 S MAIN ST STE 1, BLACKSBURG, VA 24060-5506
(540) 951-2260
(540) 951-2268
Mailing address
2513 PLYMOUTH ST, BLACKSBURG, VA 24060-8256
(719) 685-6879
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134615321
NPI
VA
Enumeration date
07/02/2019
Last updated
07/02/2019
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