Provider Demographics
NPI:1952609489
Name:FRENCH FAMILY DENTISTRY,PLLC
Entity Type:Organization
Organization Name:FRENCH FAMILY DENTISTRY,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-674-4191
Mailing Address - Street 1:132 N LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:FLOYD
Mailing Address - State:VA
Mailing Address - Zip Code:24091-2509
Mailing Address - Country:US
Mailing Address - Phone:540-745-4902
Mailing Address - Fax:540-745-2476
Practice Address - Street 1:132 N LOCUST ST
Practice Address - Street 2:
Practice Address - City:FLOYD
Practice Address - State:VA
Practice Address - Zip Code:24091-2509
Practice Address - Country:US
Practice Address - Phone:540-745-4902
Practice Address - Fax:540-745-2476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010060351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty