Organization
JAMES H MIDKIFF DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H MIDKIFF DDS (DENTIST OWNER PRESIDENT)
(540) 774-0061
Entity
Organization
Contact information
Practice address
4051 POSTAL DRIVE SW, ROANOKE, VA 24018-6439
(540) 774-0061
(540) 989-3121
Mailing address
4051 POSTAL DRIVE SW, ROANOKE, VA 24018-6439
(540) 774-0061
(540) 989-3121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
04203VA
VA
1223G0001X
General Practice Dentistry
Primary
05136VA
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05136VA
VA DENTAL LICENSE
VA
Enumeration date
08/10/2006
Last updated
03/07/2023
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