| Craig County Dental Center | |
|
230 Market Street New Castle VA 24127 | |
| (540) 864-5556 | |
| Not Available |
| Full Name | Craig County Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 230 Market Street, New Castle, Virginia |
| Authorized Official Name and Position | Michelle B Ballard (COO) |
| Authorized Official Contact | 3047723065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig County Dental Center 200 Health Center Drive Po Box 590 Union WV 24983 Ph: (304) 772-3065 | Craig County Dental Center 230 Market Street New Castle VA 24127 Ph: (540) 864-5556 |
| NPI Number | 1548582034 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548582034 | NPI | - | NPPES |
| 1548582034 | Medicaid | VA | |
| 1548582034 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411129 (Virginia) | Primary |
Ebrahim H. Baradaran D.m.d. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 297 Market St., Suite 2, New Castle, VA 24127 Phone: 540-864-5125 Fax: 540-864-5377 |