Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dalton Mark Renick, DO

Individual provider Pediatrics Physician · NPI 1174013932

Dalton Mark Renick, DO is a Pediatrics Physician in Roanoke, Virginia. Licensed in South Carolina and Virginia. Registered with an NPI since 2018.

Licensed in
SC, VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4040 Postal Dr
Roanoke, VA 24018-6438
Phone: (540) 772-4453
Fax: (540) 772-4717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0102206530 (VA)
Pediatrics Physician Taxonomy 208000000X · Licence LL51961 (SC)

Record details

NPI number1174013932
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 16, 2018
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022
Mailing address213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713

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