| Hairston Family Dentistry | |
|
255 Washington St Ravenswood WV 26164-1874 | |
| (304) 273-5301 | |
| Not Available |
| Full Name | Hairston Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 255 Washington St, Ravenswood, West Virginia |
| Authorized Official Name and Position | Leah Rae Hairston (OWNER DENTIST) |
| Authorized Official Contact | 3045427860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hairston Family Dentistry 255 Washington St Ravenswood WV 26164-1874 Ph: (304) 273-5301 | Hairston Family Dentistry 255 Washington St Ravenswood WV 26164-1874 Ph: (304) 273-5301 |
| NPI Number | 1407397516 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407397516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | WV4152 (West Virginia) | Primary |
Family & Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Washington Street, Ravenswood, WV 26164 Phone: 304-273-5301 Fax: 304-273-0966 |