MADISON COUNTY DENTAL CLINIC (NPI# 1720151582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720151582 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY DENTAL CLINIC |
| Practice Address |
410 North Main Street Madison VA 22727 |
| Mailing Address |
Po Box 67 410 North Main Street Madison VA 22727 |
| Practice Telephone | 5409485481 |
| Practice Fax Number | 5409483841 |
| Mailing Telephone | 5409485481 |
| Mailing Fax Number | 5409483841 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS JOHNSON (PUBLIC HEALTH DENTIST) |
| Authorized Official Telephone | 5403476400 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4975707 | 05 |
| Street Address |
410 NORTH MAIN STREET |
| City | MADISON |
| State | VA |
| Zip Code | 22727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423825 | Madison Free Clinic, Inc | Clinic/Center | 410 North Main Street, Madison, VA 22727 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619243136 | Madison County Rescue Squad Inc | Ambulance | 1473 N Main Street, Madison, VA 22727 | 2012-03-29 |
| 1588995062 | Madison County Board of Supervisors | Ambulance | 1449 North Main Street, Madison, VA 22727 | 2010-01-22 |
| 1255668711 | Lorie N Davis | Counselor | 74 Legion Post Lane, Madison, VA 22727 | 2009-11-04 |
| 1255357455 | Madison County Public Schools | Local Education Agency (LEA) | 60 School Board Court, Madison, VA 22727 | 2006-07-14 |
| 1710334743 | Whitney Richards | Occupational Therapist | 1 Autumn Ct, Madison, VA 22727 | 2016-05-19 |
| 1215143813 | Jared Carter Kleine | Dentist | 1333 North Seminole Trail, Madison, VA 22727-0330 | 2007-05-14 |
| 1164464178 | John Yates Sealander | Family Medicine | 2503 S Seminole Trl, Madison, VA 22727-2690 | 2006-06-12 |
| 1982928735 | Susan Benton Suleske | Physician Assistant | 2503 S Seminole Trl, Madison, VA 22727-2690 | 2010-03-23 |
| 1700027067 | Anna T. Mccary | Nurse Practitioner | 2503 S Seminole Trl, Madison, VA 22727-2690 | 2009-03-17 |
| 1841708088 | Roma Marisa Shickel | Speech-Language Pathologist | 158 Primary School Dr, Madison, VA 22727-3008 | 2018-01-22 |
| Find all providers in zip 22727 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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|---|---|---|---|---|
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| 1487763124 | City of Madison | Public Health or Welfare | 210 Martin Luther King Jr. Blvd., Room 507, Madison, WI 53703-3346 | 2006-08-29 |
| 1245200641 | Florida Department of Health | Public Health or Welfare | 218 Sw Third Ave, Madison, FL 32340-1266 | 2006-01-26 |
| 1861730236 | The Bedford Medical Corporation | Public Health or Welfare | 1281 Highway 51, Madison, MS 39110-9092 | 2013-01-19 |
| 1780998401 | Dane County Human Services | Public Health or Welfare | 1202 Northport Dr, Madison, WI 53704-2020 | 2010-08-05 |
| 1780731059 | Jefferson County Auditor | Public Health or Welfare | 715 Green Rd, Madison, IN 47250-2143 | 2007-01-05 |
| 1558451575 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1480 N Main St, Madison, VA 22727-3093 | 2006-10-13 |
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| 1750848925 | Aaa Health Care Services LLC | Public Health or Welfare | 9525 Pine Trails Ct, Henrico, VA 23294-5344 | 2019-02-25 |
| 1720523996 | Arthur Chiu | Public Health or Welfare | 7619 Huntmaster Ln, Mc Lean, VA 22102-2531 | 2016-12-27 |
| 1528409257 | Rx4relief, LLC | Public Health or Welfare | 82 Watermans Ct, Gasburg, VA 23857-2204 | 2013-07-10 |
| 1003163338 | Gma Construction LLC | Public Health or Welfare | 166 Holden Dr, Manassas Park, VA 20111-1832 | 2012-08-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.