# AUGUSTA REGIONAL DENTAL CLINIC

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

## Provider details

- **NPI number:** 1548223753
- **Authorized official:** MR. SCOTT LITTEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (540) 332-5619

## Contact information

- **Practice address:** 342 MULE ACADEMY RD, FISHERSVILLE, VA 22939-2256
- **Practice address phone:** (540) 332-5619
- **Practice address fax:** (540) 332-5622
- **Mailing address:** 342 MULE ACADEMY RD, FISHERSVILLE, VA 22939-2256
- **Mailing address phone:** (540) 332-5619
- **Mailing address fax:** (540) 332-5622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 08/22/2020