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Contact Information

WYTHE COUNTY HEALTH DEPT DENTAL CLINIC
750 WEST RIDGE ROAD
WYTHEVILLE, VA24382
 Phone: 276-228-5507
 Fax: 226-228-3392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for WYTHE COUNTY HEALTH DEPT DENTAL CLINIC · (Female)

NPI # 1891871604
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0401002879
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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