National Provider Identifier Database

ORANGE COUNTY DENTAL CLINIC
Public Health or Welfare


Contact Information

ORANGE COUNTY DENTAL CLINIC
450 NORTH MADISON ROAD
ORANGE, VA22960
Phone: 540-672-1291
Fax: 540-672-1766
Website:
Specialty Taxonomy Code
* Public Health or Welfare 251K00000X

* Indicates primary specialty

NPI Profile & details for ORANGE COUNTY DENTAL CLINIC

NPI Number 1912070319
Legal business name
LBN
ORANGE COUNTY DENTAL CLINIC
Authorized official THOMAS JOHNSON - (PUBLIC HEALTH DENTIST)
Entity Organization
Organization subpart No
Enumeration date 11/16/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 4975804
  • Other: 0401006380 LIC #

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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