| Ethan Lafferty, Dds, Pllc | |
|
1321 Stadium Dr Bluefield WV 24701-3318 | |
| (304) 327-7135 | |
| (304) 327-0758 |
| Full Name | Ethan Lafferty, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1321 Stadium Dr, Bluefield, West Virginia |
| Authorized Official Name and Position | Ethan Shamus Lafferty (OWNER) |
| Authorized Official Contact | 3043277135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Lafferty, Dds, Pllc 1321 Stadium Dr Bluefield WV 24701-3318 Ph: (304) 327-7135 | Ethan Lafferty, Dds, Pllc 1321 Stadium Dr Bluefield WV 24701-3318 Ph: (304) 327-7135 |
| NPI Number | 1104605989 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104605989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lawson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 North St, Bluefield, WV 24701 Phone: 304-327-8177 Fax: 304-324-4225 | |
Tom Honaker Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Jefferson St, Bluefield, WV 24701 Phone: 304-327-2471 | |