# VIRGINIA DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henrico County Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396827648
- **Authorized official:** MELODY J. MCCORMICK (ADMINISTRATOR)
- **Authorized official phone:** (804) 501-4953

## Contact information

- **Practice address:** 8600 DIXON POWERS DR, RICHMOND, VA 23228-2735
- **Practice address phone:** (804) 504-4658
- **Practice address fax:** (804) 501-4588
- **Mailing address:** 8600 DIXON POWERS DR, RICHMOND, VA 23228-2735
- **Mailing address phone:** (804) 504-4658
- **Mailing address fax:** (804) 501-4588

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 08/22/2020