# WYTHE FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Campbell, Throckmorton and Copenhaver
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255523148
- **Authorized official:** GRANT CAMPBELL THROCKMORTON DDS (OWNER)
- **Authorized official phone:** (276) 228-2222

## Contact information

- **Practice address:** 210 LORETTO DRIVE, WYTHEVILLE, VA 24382-2076
- **Practice address phone:** (276) 228-3361
- **Practice address fax:** (276) 228-0607
- **Mailing address:** 210 LORETTO DRIVE, WYTHEVILLE, VA 24382-2076
- **Mailing address phone:** (276) 228-3361
- **Mailing address fax:** (276) 228-0607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401005623 | VA | Yes |

## Other

- **Enumeration date:** 08/14/2007
- **Last updated:** 05/21/2025