Organization
ADAM C PLASTER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM CRAIG PLASTER DDS (PRESIDENT)
(276) 322-4006
Entity
Organization
Contact information
Practice address
134 SOUTH COLLEGE AVE, BLUEFIELD, VA 24605
(276) 322-4006
(276) 322-0302
Mailing address
134 SOUTH COLLEGE AVE, BLUEFIELD, VA 24605
(276) 322-4006
(276) 322-0302
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401410196
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178673
—
VA
Enumeration date
04/25/2006
Last updated
08/22/2020
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