Organization
HARVEY DENTISTRY VTN, PC
Active
Other names
Blue Ridge Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY TODD HARVEY DMD (PRESIDENT)
(540) 389-0720
Entity
Organization
Contact information
Practice address
1335 HARDY RD, VINTON, VA 24179-2201
(540) 342-7865
(540) 342-7862
Mailing address
1335 HARDY RD, VINTON, VA 24179-2201
(540) 342-7865
(540) 342-7862
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
0401004058
VA
261QD0000X
Dental Clinic/Center
Primary
0401410880
VA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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