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Organization
JOHNSON HEALTH CENTER
Active
Organization
JOHNSON HEALTH CENTER
Active
Other names
Bedford Community Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY CAMPBELL (CEO)
(434) 455-2480
Entity
Organization
Contact information
Practice address
600 BEDFORD AVE, BEDFORD, VA 24523-2452
(434) 929-1400
(434) 929-0410
Mailing address
134 ELON RD, MADISON HEIGHTS, VA 24572-1966
(434) 455-2480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609203652
—
VA
Enumeration date
10/07/2013
Last updated
09/04/2019
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