SOUTHERN DOMINION HEALTH SYSTEM INC. NPI 1396995940

NPI Information

NPI: 1396995940
Provider Name: SOUTHERN DOMINION HEALTH SYSTEM, INC.

Doing Business As: SDHS FAMILY DENTISTRY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1418 6TH STREET
VICTORIA, VA
ZIP 23974
Phone: (434) 696-4180
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SOUTHERN DOMINION HEALTH SYSTEM, INC. is a federally qualified health center (fqhc) clinic center in Victoria, VA. SOUTHERN DOMINION HEALTH SYSTEM, INC. NPI is 1396995940. The provider is registered as an organization entity type.
The provider Is Doing Business As Sdhs Family Dentistry.

The provider's business location address is:

1418 6TH STREET
VICTORIA, VA
ZIP 23974
Phone: (434) 696-4180
Fax: (434) 696-4182

The provider's authorized official is April King .
The authorized official title is Ceo and has the following contact phone number (434) 696-2165.

The CLIA number assigned to this NPI record is 49D2187738 - other - dental office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2008 and was last updated on 2/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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