Provider Demographics
NPI:1881363646
Name:DENTURE EXPRESS OF MARTINSVILLE, LLC
Entity type:Organization
Organization Name:DENTURE EXPRESS OF MARTINSVILLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:276-632-1565
Mailing Address - Street 1:5 DUDLEY ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1905
Mailing Address - Country:US
Mailing Address - Phone:276-638-3265
Mailing Address - Fax:276-656-1190
Practice Address - Street 1:5 DUDLEY ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1905
Practice Address - Country:US
Practice Address - Phone:276-638-3265
Practice Address - Fax:276-656-1190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes292200000XLaboratoriesDental Laboratory