Provider Demographics
NPI:1235252719
Name:VALLEY ENDODONTICS, PLC
Entity Type:Organization
Organization Name:VALLEY ENDODONTICS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MCKEARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-433-3636
Mailing Address - Street 1:1880 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-8858
Mailing Address - Country:US
Mailing Address - Phone:540-433-3636
Mailing Address - Fax:
Practice Address - Street 1:1880 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-8858
Practice Address - Country:US
Practice Address - Phone:540-433-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty