| Family & Cosmetic Dentistry | |
|
255 Washington Street Ravenswood WV 26164-1849 | |
| (304) 273-5301 | |
| (304) 273-0966 |
| Full Name | Family & Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 255 Washington Street, Ravenswood, West Virginia |
| Authorized Official Name and Position | Mark W. Simpson (OWNER/PRESIDENT) |
| Authorized Official Contact | 3043426162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Cosmetic Dentistry 255 Washington Street Ravenswood WV 26164 Ph: (304) 273-5301 | Family & Cosmetic Dentistry 255 Washington Street Ravenswood WV 26164-1849 Ph: (304) 273-5301 |
| NPI Number | 1164678314 |
|---|---|
| Provider Enumeration Date | 08/07/2008 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164678314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3379 (West Virginia) | Primary |
Hairston Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Washington St, Ravenswood, WV 26164 Phone: 304-273-5301 |