Healthcare Provider Details

I. General information

NPI: 1851212708
Provider Name (Legal Business Name): NET DENTAL DPLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 LEE HWY STE 110
BRISTOL VA
24202-6026
US

IV. Provider business mailing address

PO BOX 5815
KINGSPORT TN
37663-0815
US

V. Phone/Fax

Practice location:
  • Phone: 276-669-1370
  • Fax:
Mailing address:
  • Phone: 423-283-0511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HEATHER METCALF
Title or Position: OFFICE MANAGER
Credential: RDH
Phone: 423-283-0511