Provider Demographics
NPI:1518143585
Name:STARKEY ROAD DENTAL, INC.
Entity Type:Organization
Organization Name:STARKEY ROAD DENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:SEMTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-989-0112
Mailing Address - Street 1:4370 STARKEY RD STE 2
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0603
Mailing Address - Country:US
Mailing Address - Phone:540-774-0042
Mailing Address - Fax:540-774-0047
Practice Address - Street 1:4370 STARKEY RD STE 2
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0603
Practice Address - Country:US
Practice Address - Phone:540-774-0042
Practice Address - Fax:540-774-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty