Organization
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Active
Parent organization
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Other names
SDHS Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Authorized official
APRIL KING (CEO)
(434) 696-2165
Entity
Organization
Contact information
Practice address
1418 6TH STREET, VICTORIA, VA 23974
(434) 696-4180
(434) 696-4182
Mailing address
PO BOX 70, VICTORIA, VA 23974-0070
(434) 696-2165
(434) 696-1378
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
VA
Other
Enumeration date
09/19/2008
Last updated
02/08/2024
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