Impact Family Dental Pllc
NPI #1679378426 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1679378426
- Entity Type
- Organization
- Organization Name
- Impact Family Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 17, 2025
- Last Updated
- Feb 17, 2025
Practice Location
- Address
- 110 PROFESSIONAL PARK DR SE
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-6735
- Phone
- (540) 655-0170
Authorized Official
- Name
- DR. GLENN EVANS, DMD
- Title
- OWNER
- Phone
- (540) 655-0170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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