Organization
CULPEPER COUNTY DENTAL CLINIC
Active
Organization
CULPEPER 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
450 RADIO LANE, CULPEPER, VA 22701
(540) 829-7350
(540) 829-7345
Mailing address
640 LAUREL STREET, CULPEPER, VA 22701
(540) 829-7350
(540) 829-7345
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401006380
LIC NUMBER
—
05
—
4975421
—
VA
Enumeration date
11/17/2006
Last updated
08/22/2020
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