| Chad J Lancaster, Dds, Pllc | |
|
715 Elk St Gassaway WV 26624-1113 | |
| (304) 364-8565 | |
| Not Available |
| Full Name | Chad J Lancaster, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 715 Elk St, Gassaway, West Virginia |
| Authorized Official Name and Position | Chad Lancaster (OWNER) |
| Authorized Official Contact | 3043648565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad J Lancaster, Dds, Pllc Po Box 307 Gassaway WV 26624-0307 Ph: (304) 364-8565 | Chad J Lancaster, Dds, Pllc 715 Elk St Gassaway WV 26624-1113 Ph: (304) 364-8565 |
| NPI Number | 1881171726 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881171726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |