Grace Dental Care | |
15081 Maccorkle Ave Chelyan WV 25035 | |
(304) 595-3551 | |
(304) 595-6822 |
Full Name | Grace Dental Care |
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Speciality | Dentist - General Practice |
Location | 15081 Maccorkle Ave, Chelyan, West Virginia |
Authorized Official Name and Position | Ronald A Grace (DENTIST) |
Authorized Official Contact | 3045953551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grace Dental Care Po Box 40 Cabin Creek WV 25035-0040 Ph: (304) 595-3551 | Grace Dental Care 15081 Maccorkle Ave Chelyan WV 25035 Ph: (304) 595-3551 |
NPI Number | 1043707334 |
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Provider Enumeration Date | 04/23/2018 |
Last Update Date | 04/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043707334 | NPI | - | NPPES |
0137007000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2678 (West Virginia) | Primary |
Jrl Dental Dba Grace Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15081 Maccorkle Ave, Chelyan, WV 25035 Phone: 304-595-3551 Fax: 304-595-6822 |