Provider Demographics
NPI:1508157454
Name:SEMTNER, MONICA G (DDS)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:G
Last Name:SEMTNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4370 STARKEY RD
Mailing Address - Street 2:SUITE 1 B
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0607
Mailing Address - Country:US
Mailing Address - Phone:540-989-0112
Mailing Address - Fax:540-989-0049
Practice Address - Street 1:4370 STARKEY RD
Practice Address - Street 2:SUITE 1 B
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0607
Practice Address - Country:US
Practice Address - Phone:540-989-0112
Practice Address - Fax:540-989-0049
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014102351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice