Lee Family Dental PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412170 Issued in VA

Legal business name

LEE FAMILY DENTAL PLC

Practice address

153 E Morgan Ave
Pennington Gap, VA 24277-2643

Phone

(276) 546-2042

Fax

(276) 546-3029

NPI assigned

Aug 27, 2008

Last updated

Oct 1, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Ross Shelburne, D.D.S.NPI 1841450624

Title

Owner

Phone

(276) 546-2042

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Ross Shelburne, DDS

  • General Practice Dentistry
  • Pennington Gap, VA
  • NPI 1841450624
  NPD (past) Authorized official
• Roy S Shelburne, DDS

  • General Practice Dentistry
  • Bristol, VA
  • NPI 1003926940
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1730336173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E MORGAN AVE",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772643",
            "telephone_number": "276-546-2042",
            "fax_number": "276-546-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E MORGAN AVE",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772643",
            "telephone_number": "276-546-2042",
            "fax_number": "276-546-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE FAMILY DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "SHELBURNE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-546-2042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B Allen Kolodziej, MD
• Angeal Courtney Lawson
• Lee County Hospital Authority
• Lee County Medical Center,LLC
• Lee County Rescue Squad Inc (Pennington Gap Unit)
• Amanda Light
• Litton Family Medicine PC
• John Scott Litton Jr., M.D.
• Shahram Malik, MD
• Jeffery Martin

• General Practice Dentistry in Pennington Gap, VA
• Providers in Pennington Gap, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.