# JOHNSON HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bedford Community Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609203652
- **Authorized official:** MR. GARY CAMPBELL (CEO)
- **Authorized official phone:** (434) 455-2480

## Contact information

- **Practice address:** 600 BEDFORD AVE, BEDFORD, VA 24523-2452
- **Practice address phone:** (434) 929-1400
- **Practice address fax:** (434) 929-0410
- **Mailing address:** 134 ELON RD, MADISON HEIGHTS, VA 24572-1966
- **Mailing address phone:** (434) 455-2480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2013
- **Last updated:** 09/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1609203652 | — | VA |