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Contact Information

WASHINGTON CO HEALTH DEPT DENTAL CLINIC
15068 LEE HIGHWAY
SUITE 1000
BRISTOL, VA24202
 Phone: 276-676-5604
 Fax: 276-645-1994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for WASHINGTON CO HEALTH DEPT DENTAL CLINIC · (Female)

NPI Number 1669532560
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0401005217
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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