# BWJ DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White Cosmetic & Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669041729
- **Authorized official:** DR. BRANDON WHITE DDS (OWER/MEMBER)
- **Authorized official phone:** (828) 289-7079

## Contact information

- **Practice address:** 8642 FOREST RD, GOODE, VA 24556-3027
- **Practice address phone:** (540) 587-5707
- **Mailing address:** 101 MCKENNA CIR, LYNCHBURG, VA 24503-1742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2021
- **Last updated:** 06/23/2021