NPIMap

Organization Active NPI

Wythe Family Dentistry

  • Dentist
  • Wytheville, VA
National Provider Identifier
1255523148
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401005623 Issued in VA
Legal business name
WYTHE FAMILY DENTISTRY
Practice address
210 Loretto Drive
Wytheville, VA 24382-2076
Phone
(276) 228-3361
Fax
(276) 228-0607
NPI assigned
Aug 14, 2007
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Grant Campbell Throckmorton, DDSNPI 1710416532
Title
Owner
Phone
(276) 228-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401005623 VA Primary

Addresses

Primary practice location

210 Loretto Drive
Wytheville, VA 24382-2076

Mailing address

210 Loretto Drive
Wytheville, VA 24382-2076
Phone (276) 228-3361

Other names 1

  • Campbell, Throckmorton and Copenhaver Former legal business name

National Provider Directory

National Provider Directory

Locations

210 Loretto Dr
Wytheville, VA 24382
Phone (276) 228-2222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1255523148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LORETTO DRIVE",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822076",
            "telephone_number": "276-228-3361",
            "fax_number": "276-228-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LORETTO DRIVE",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822076",
            "telephone_number": "276-228-3361",
            "fax_number": "276-228-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYTHE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "THROCKMORTON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-228-2222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell, Throckmorton and Copenhaver",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wytheville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.