Michael Ankrum, D.D.S.
Individual provider Active NPI General Practice Dentistry · Pearisburg, VA
NPI 1205978673 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205978673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401005269 (VA)
- Practice address
- 722 Wenonah Ave
Pearisburg, VA 24134-1638 - Phone
- (540) 921-1215
- Fax
- (540) 921-1522
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401005269 | VA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401005269 | VA | Yes |
Addresses
Primary practice location
722 Wenonah Ave
Pearisburg, VA 24134-1638
Mailing address
PO Box 461
Pearisburg, VA 24134-0461
Phone (540) 921-1215
Other providers in Pearisburg, VA
- Katherine Altizer
- Sameer Atrash
- Jerry W Bailey
- Michael Lee Bailey Jr.
- Be Active Physical Therapy Inc
- Barbara Beatty
All providers in Pearisburg, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.