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General NPI Number Information
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NPI Number | 1518143585
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Entity Type | Organization
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Legal Business Name | STARKEY ROAD DENTAL, INC.
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Dates
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Enumeration Date | 01/21/2008
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Last Update Date | 01/21/2008
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Provider Practice Location Address
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Address Line | 4370 STARKEY RD STE 2
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City | ROANOKE
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State | VA
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Zip | 24018-0603
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Country | US
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Telephone | 540-774-0042
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Fax | 540-774-0047
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Provider Business Mailing Address
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Address Line | 4370 STARKEY RD STE 2
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City | ROANOKE
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State | VA
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Zip | 24018-0603
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Country | US
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Telephone | 540-774-0042
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Fax | 540-774-0047
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT B SEMTNER
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Credential | DDS
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Telephone | 540-989-0112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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