Real Life Dental of Roanoke PLLC
NPI 1770249757ActiveOrganization· Dentist, General Practice· Roanoke, VA
Dentist, General Practice in Roanoke, Virginia, registered in NPPES in November 2021. The authorized official on file is Kim Davis, Rcm Director.
Overview
| NPI | 1770249757 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2021 |
| Last updated in NPPES | Oct 22, 2026 |
| Certified by provider | Oct 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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