Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLEY MARIE MAYBERRY, RDH
ActiveDental Public Health · ARRINGTON, VA
Registration Details
- NPI Number
- 1114574100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2019 (6.6621767121673 yrs)
- Last Updated
- Aug 23, 2019
- License
-
0402207854 (VA)
Practice Information
- Address
-
4038 THOMAS NELSON HWYARRINGTON, VA, 229222302Browse VA providers · Browse ZIP 22922
- Phone
- 4342636310
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.