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Organization
MADISON COUNTY DENTAL CLINIC
Active
Organization
MADISON COUNTY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOHNSON DDS (PUBLIC HEALTH DENTIST)
(540) 347-6400
Entity
Organization
Contact information
Practice address
410 NORTH MAIN STREET, MADISON, VA 22727
(540) 948-5481
(540) 948-3841
Mailing address
PO BOX 67, 410 NORTH MAIN STREET, MADISON, VA 22727
(540) 948-5481
(540) 948-3841
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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