Organization
STRAIGHT SMILES OF ROANOKE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENELL STRINGER (MANAGER, LICENSING & CREDENTIALING)
(615) 750-0343
Entity
Organization
Contact information
Practice address
1502 WILLIAMSON RD NE, SUITE A, ROANOKE, VA 24012-5130
(540) 206-2203
(540) 400-0525
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
(615) 750-0343
(615) 986-1705
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208806
—
VA
Enumeration date
01/07/2011
Last updated
06/11/2013
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