| Dr. Mark A. Spiker, Dds, Pllc | |
|
304 Masonic Ave Pennsboro WV 26415-1324 | |
| (304) 659-2585 | |
| Not Available |
| Full Name | Dr. Mark A. Spiker, Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 304 Masonic Ave, Pennsboro, West Virginia |
| Authorized Official Name and Position | Mark A Spiker (DENTIST) |
| Authorized Official Contact | 3046592585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mark A. Spiker, Dds, Pllc Rr 2 Box 41 Pennsboro WV 26415-9413 Ph: () - | Dr. Mark A. Spiker, Dds, Pllc 304 Masonic Ave Pennsboro WV 26415-1324 Ph: (304) 659-2585 |
| NPI Number | 1326253154 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326253154 | NPI | - | NPPES |
| 0136425000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2413 (West Virginia) | Primary |