Provider Demographics
NPI:1780008763
Name:SLAUGHTER &SLAUGHTER FAMILY DENTISTRY, P.C.
Entity Type:Organization
Organization Name:SLAUGHTER &SLAUGHTER FAMILY DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:W
Authorized Official - Last Name:SLAUGHTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-862-4495
Mailing Address - Street 1:1401 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON FORGE
Mailing Address - State:VA
Mailing Address - Zip Code:24422-1835
Mailing Address - Country:US
Mailing Address - Phone:540-862-4495
Mailing Address - Fax:540-862-3684
Practice Address - Street 1:1401 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLIFTON FORGE
Practice Address - State:VA
Practice Address - Zip Code:24422-1835
Practice Address - Country:US
Practice Address - Phone:540-862-4495
Practice Address - Fax:540-862-3684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005319251300000X
VA0401413653251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)