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3465a Teays Valley Rd Hurricane WV 25526-9279 | |
| (304) 562-0355 | |
| (304) 562-0356 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3465a Teays Valley Rd, Hurricane, West Virginia |
| Authorized Official Name and Position | Jonathan Hill (OFFICE MANAGER) |
| Authorized Official Contact | 3044190049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 166 Winfield WV 25213-0166 Ph: (304) 586-4292 | 3465a Teays Valley Rd Hurricane WV 25526-9279 Ph: (304) 562-0355 |
| NPI Number | 1417361296 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 12/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417361296 | NPI | - | NPPES |
| 3910006298 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2430 (West Virginia) | Secondary |
| 261QD0000X | Clinic/center - Dental | 4109 (West Virginia) | Primary |
Kerry Kendrick, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Chase Dr, Hurricane, WV 25526 Phone: 304-757-7792 Fax: 304-757-7808 | |
Dr Michael A Joseph Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Davis Court, Hurricane, WV 25526 Phone: 304-562-7117 Fax: 304-562-7118 | |
Samuel D O'dell, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3712 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-757-9389 Fax: 304-757-3296 | |
Matthew C O'dell, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3518 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-562-1000 |