# ORAL WELLNESS CENTER OF VIRGINIA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003652207
- **Authorized official:** DR. MARK GREGORY SMITH DDS (PRESIDENT)
- **Authorized official phone:** (703) 965-4188

## Contact information

- **Practice address:** 505 FAULCONER DR STE 1D, CHARLOTTESVILLE, VA 22903-4981
- **Practice address phone:** (434) 293-9311
- **Practice address fax:** (434) 293-2105
- **Mailing address:** 505 FAULCONER DR STE 1D, CHARLOTTESVILLE, VA 22903-4981
- **Mailing address phone:** (703) 965-4188
- **Mailing address fax:** (434) 293-2105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2024
- **Last updated:** 08/03/2025