South Holston Dental Designs

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401008559 Issued in VA

Legal business name

SOUTH HOLSTON DENTAL DESIGNS

Practice address

15325 Lee Hwy
Bristol, VA 24202-4013

Phone

(276) 466-9800

Fax

(276) 591-5959

NPI assigned

Aug 29, 2017

Last updated

Jul 21, 2022By 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

Mrs. Valeria Miller

Title

Accounting

Phone

(276) 466-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871010850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15325 LEE HWY",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242024013",
            "telephone_number": "276-466-9800",
            "fax_number": "276-591-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15325 LEE HWY",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242024013",
            "telephone_number": "276-466-9800",
            "fax_number": "276-591-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HOLSTON DENTAL DESIGNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "276-466-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401008559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy S Shelburne, DDS
• Bradley Craig Shortt, LPC
• Joanna Sloggy, PHD, CCC-SLP
• Albert Smith, PT, DPT
• Sonya K. Martin DDS LLC
• Southwest Virginia Community Health Systems Inc (Bristol Community Health Center)
• Southwest Virginia Community Health Systems Inc (Virginia Primary School)
• Southwest Virginia Community Health Systems Inc (Bristol Community Health Center Pharmacy)
• Southwest Virginia Community Health Systems Inc. (Virginia High School)
• Southwest Virginia Community Health Systems Inc. (John Battle High School)

• Dental Clinic/Center in Bristol, VA
• Providers in Bristol, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.