Jeffrey E Bang, DMD
Individual provider Active NPI General Practice Dentistry · Staunton, VA
NPI 1871650366 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871650366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401008945 (VA)
- Practice address
- 420 Commerce Rd
Staunton, VA 24401-4432 - Phone
- (540) 885-8667
- Fax
- (540) 885-8627
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0401008945 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey E. Bang | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401008945 | VA | Yes |
Addresses
Primary practice location
420 Commerce Rd
Staunton, VA 24401-4432
Mailing address
420 Commerce Rd
Staunton, VA 24401-4432
Phone (540) 885-8667
Other providers in Staunton, VA
- Lilian Agbonzebeta Azenabor
- Erika Babikow
- Lisa Marie Baker
- Janet Mizzi Balser
- Gary Rach Bang
- Kami Barbour
- Barry L Munsey
- Barry L Munsey, PLC
- Lou Gene Bartram
- Keyan Bashiri
All providers in Staunton, 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.