Organization
JOHNSON HEALTH CENTER
Active
Other names
Bedford Community Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY CAMPBELL (CEO)
(434) 455-2480
Entity
Organization
Contact information
Practice address
600 BEDFORD AVE, BEDFORD, VA 24523-2452
(434) 929-1400
(434) 929-0410
Mailing address
134 ELON RD, MADISON HEIGHTS, VA 24572-1966
(434) 455-2480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609203652
—
VA
Enumeration date
10/07/2013
Last updated
09/04/2019
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