Provider Demographics
NPI:1518199843
Name:DAMIANO, JOSEPH RALPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RALPH
Last Name:DAMIANO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7752 WILLIAMSON RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-4343
Mailing Address - Country:US
Mailing Address - Phone:540-362-9519
Mailing Address - Fax:
Practice Address - Street 1:7752 WILLIAMSON RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-4343
Practice Address - Country:US
Practice Address - Phone:540-362-9519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005047122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist