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1007 Sushruta Drive Martinsburg WV 25401 | |
(304) 263-0991 | |
(304) 274-9546 |
Full Name | |
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Speciality | Dentist |
Location | 1007 Sushruta Drive, Martinsburg, West Virginia |
Authorized Official Name and Position | Pamela Phillips (OFFICE MANAGER) |
Authorized Official Contact | 3042630991 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1007 Sushruta Drive Martinsburg WV 25401 Ph: (304) 263-0991 | 1007 Sushruta Drive Martinsburg WV 25401 Ph: (304) 263-0991 |
NPI Number | 1346310505 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 02/21/2023 |
Medicare PECOS PAC ID | 1355243544 |
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Medicare Enrollment ID | O20040127000598 |
Identifier | Type | State | Issuer |
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1346310505 | NPI | - | NPPES |
3810006011 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Howard L Nelson |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1811067952 PECOS PAC ID: 9234032145 Enrollment ID: I20040129000021 |
Provider Name | Nahla Chaudhary |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1255544748 PECOS PAC ID: 1355497934 Enrollment ID: I20090923000445 |
William F. Queen, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 N Queen St, Martinsburg, WV 25404 Phone: 304-263-6568 Fax: 304-267-7183 | |
Donald E. Patthoff Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Foxcroft Ave Ste 302, Martinsburg, WV 25401 Phone: 304-263-0411 | |