Individual
DR. EVA LYNN COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4119 BRANDON AVE SW, ROANOKE, VA 24018-1203
(540) 776-6555
Mailing address
4119 BRANDON AVE SW, ROANOKE, VA 24018-1203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414177
VA
1223G0001X
General Practice Dentistry
3124-00
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08836308
—
MS
Enumeration date
11/13/2006
Last updated
06/10/2022
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