Mollie Capone, DMD
Individual provider Active NPI General Practice Dentistry · Gate City, VA
NPI 1245924067 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1245924067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401419108 (VA)
- Practice address
- 116 Ravine St Ste 101
Gate City, VA 24251-3312 - Phone
- (276) 386-6162
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 0401419108 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey D. Montgomery, DDS, PC | General Practice | Current |
Accepting new patients |
Locations
116 Ravine St
Ste 101
Gate City, VA 24251
Phone (276) 386-6162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12244 | TN | |
| General Practice Dentistry | 1223G0001X | 0401419108 | VA | Yes |
Addresses
Primary practice location
116 Ravine St Ste 101
Gate City, VA 24251-3312
Mailing address
116 Ravine St Ste 101
Gate City, VA 24251-3312
Phone (276) 386-6162
Other practice location 1
1303 Carroll Creek Rd
Johnson City, TN 37615-4790
Phone (423) 232-0747
Other providers in Gate City, VA
- Jane Rogers Burdine
- Anna Joyce Byrd
- Danielle Leeann Calhoun
- Hayley Elise Campbell
- Melissa Marie Cantor
- Macy Carmack
- Alysen M Carter
- Teresa Lynn Castle
- Wray West Chaffin II
- Trevor Chow
All providers in Gate City, 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 Aug 19, 2024. 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.