Organization
FAUQUIER 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
330 HOSPITAL DRIVE, SUITE 101, WARRENTON, VA 20186
(540) 347-6400
(540) 347-6405
Mailing address
330 HOSPITAL DRIVE, SUITE 101, WARRENTON, VA 20186
(540) 347-6400
(540) 347-6405
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401006380
LIC NUMBER
—
Enumeration date
10/27/2006
Last updated
08/22/2020
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