| Huntington Dental Group | |
|
1306 Commerce Ave Huntington WV 25701-1609 | |
| (304) 697-7190 | |
| Not Available |
| Full Name | Huntington Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1306 Commerce Ave, Huntington, West Virginia |
| Authorized Official Name and Position | William Thomas Myers (OWNER/PRESIDENT) |
| Authorized Official Contact | 3046977190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntington Dental Group 1306 Commerce Ave Huntington WV 25701-1609 Ph: (304) 697-7190 | Huntington Dental Group 1306 Commerce Ave Huntington WV 25701-1609 Ph: (304) 697-7190 |
| NPI Number | 1053504118 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053504118 | NPI | - | NPPES |
| 0135759000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2028 (West Virginia) | Primary |
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