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Contact Information

ORANGE COUNTY DENTAL CLINIC
450 NORTH MADISON ROAD
ORANGE, VA22960
 Phone: 540-672-1291
 Fax: 540-672-1766
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for ORANGE COUNTY DENTAL CLINIC

NPI Number 1912070319
LBN Legal business name ORANGE COUNTY DENTAL CLINIC
Authorized official THOMAS JOHNSON - (PUBLIC HEALTH DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
VA Medicaid 4975804
Other 0401006380 LIC #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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