# COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chesterfield County Health Department Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215031497
- **Authorized official:** DR. WILLIAM R NELSON M.D.,MPH (DISTRICT HEALTH DIRECTOR)
- **Authorized official phone:** (804) 751-4385

## Contact information

- **Practice address:** 9501 LUCY CORR CIR, SUITE 404, CHESTERFIELD, VA 23832-6697
- **Practice address phone:** (804) 748-1752
- **Practice address fax:** (804) 751-4497
- **Mailing address:** PO BOX 100, CHESTERFIELD, VA 23832-0002
- **Mailing address phone:** (804) 751-1743
- **Mailing address fax:** (804) 751-4497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 07/28/2008