# WYTHE COUNTY HEALTH DEPT DENTAL CLINIC

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

## Provider details

- **NPI number:** 1891871604
- **Authorized official:** MRS. ANNA H STEVENS (BUSINESS MANAGER)
- **Authorized official phone:** (276) 781-7450

## Contact information

- **Practice address:** 750 WEST RIDGE ROAD, WYTHEVILLE, VA 24382
- **Practice address phone:** (276) 228-5507
- **Practice address fax:** (226) 228-3392
- **Mailing address:** 750 WEST RIDGE ROAD, WYTHEVILLE, VA 24382
- **Mailing address phone:** (276) 228-5507
- **Mailing address fax:** (226) 228-3392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | 0401002879 | VA | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 08/22/2020