National Provider Identifier Database

CULPEPER COUNTY DENTAL CLINIC
Public Health or Welfare


Contact Information

CULPEPER COUNTY DENTAL CLINIC
450 RADIO LANE
CULPEPER, VA22701
Phone: 540-829-7350
Fax: 540-829-7345
Website:
Specialty Taxonomy Code
* Public Health or Welfare 251K00000X

* Indicates primary specialty

NPI Profile & details for CULPEPER COUNTY DENTAL CLINIC

NPI Number 1902979768
Legal business name
LBN
CULPEPER COUNTY DENTAL CLINIC
Authorized official THOMAS JOHNSON - (PUBLIC HEALTH DENTIST)
Entity Organization
Organization subpart No
Enumeration date 11/17/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 4975421
  • Other: 0401006380 LIC NUMBER

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.

Reviews for CULPEPER COUNTY DENTAL CLINIC

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