Provider Demographics
NPI:1679767974
Name:DONNA F. HELTON, D.D.S., PC
Entity type:Organization
Organization Name:DONNA F. HELTON, D.D.S., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:F
Authorized Official - Last Name:HELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:434-792-5416
Mailing Address - Street 1:1422 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-4716
Mailing Address - Country:US
Mailing Address - Phone:434-792-5416
Mailing Address - Fax:434-792-7630
Practice Address - Street 1:1422 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4716
Practice Address - Country:US
Practice Address - Phone:434-792-5416
Practice Address - Fax:434-792-7630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA61771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty