John Scott Repass SR. DDS

NPI 1619167319 - Dentist - 1223S0112X

NPI Details
NPI 1619167319
Gender Male
Enumeration Date 07/29/2007
Last Updated 07/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
102 HIGHLAND AVE SE
301 COMMUNITY MEDICAL BLDG
ROANOKE VA, 24013-2253, US
Phone (540) 343-1769
Fax (540) 342-1606
Business Location
102 HIGHLAND AVE SE
301 COMMUNITY MEDICAL BLDG
ROANOKE VA, 24013-2253, US
Phone (540) 343-1769
Fax (540) 342-1606
Toxanomy
Taxonomy Code 1223S0112X
License State Virginia
License Number 3883
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According to our database, Dr. John Scott Repass SR. DDS NPI is 1619167319, taxonomy code is 1223S0112X and license number is 3883, license state is located at Virginia. John Scott Repass SR. DDS physically located at 102 Highland Ave Se, Roanoke VA, 24013-2253. NPI Number John Scott Repass SR. DDS has the Individual type.

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1619167319 NPI number is provided on an as is basis without warranty of any kind. 1619167319 is maintained by the National Plan & Provider Enumeration System. The contents of John Scott Repass SR. DDS are for informational purposes only.