Real Life Seventeen is a Orthodontics and Dentofacial Clinic in Blacksburg, Virginia. It is located at 202 S Main St Ste 101, Blacksburg, VA and its contact number is 540-443-9285. The authorized person for Real Life Seventeen is Damon B Thompson
who is Owner of the clinic and their contact number is 540-552-5433. The primary license number for Real Life Seventeen is 401415504 (Orthodontics and Dentofacial Orthopedics) in Virginia.
Real Life Seventeen Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Real Life Seventeen Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Real Life Seventeen |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 202 S Main St Ste 101, Blacksburg,
Virginia, 24060-4837 |
| Phone: | 540-443-9285 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Damon B Thompson |
| Position: | Owner |
| Contact Number: | 540-552-5433 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Real Life Seventeen clinic are as mentioned below.
| NPI Number: | 1831680172 |
| NPI Enumeration Date: | 22 May, 2018 |
| NPI Last Update On: | 22 May, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Real Life Seventeen are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | 401415504 | Virginia | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Real Life Seventeen
250 S Main St Ste 300a,
Blacksburg, Virginia |
| Zip: | 24060-4726 |
| Phone Number: | 540-552-5433 |
Patients can reach Real Life Seventeen at
202 S Main St Ste 101, Blacksburg, Virginia or can
call to book an appointment on 540-443-9285.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.