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1902979768 NPI number — CULPEPER COUNTY DENTAL CLINIC

NPI Number: 1902979768
Health Care Provider/Practitioner: CULPEPER COUNTY DENTAL CLINIC

Information about “1902979768” NPI (CULPEPER COUNTY DENTAL CLINIC) exists in 1902979768 in HTML format HTML  |  1902979768 in plain Text format TXT  |  1902979768 in PDF (Portable Document Format) PDF  |  1902979768 in an XML format XML  formats.

NPI Number : 1902979768 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902979768",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CULPEPER COUNTY DENTAL CLINIC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "640 LAUREL STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CULPEPER",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22701",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-829-7350",
    "MailingAddressFaxNumber": "540-829-7345",
    "FirstLinePracticeLocationAddress": "450 RADIO LANE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CULPEPER",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-829-7350",
    "PracticeLocationAddressFaxNumber": "540-829-7345",
    "EnumerationDate": "11/17/2006",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOHNSON",
    "AuthorizedOfficialFirstName": "THOMAS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PUBLIC HEALTH DENTIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "540-347-6400",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251K00000X",
        "TaxonomyName": "Public Health or Welfare Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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