| Huntington Pediatric Dentistry & Orthodontics | |
|
451 Kinetic Drive Huntington WV 25701 | |
| (304) 781-8600 | |
| (304) 781-8601 |
| Full Name | Huntington Pediatric Dentistry & Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 451 Kinetic Drive, Huntington, West Virginia |
| Authorized Official Name and Position | John Patrick Martin (PEDIATRIC DENTIST) |
| Authorized Official Contact | 3047818600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntington Pediatric Dentistry & Orthodontics Po Box 581 Hurricane WV 25526-0581 Ph: (304) 781-8600 | Huntington Pediatric Dentistry & Orthodontics 451 Kinetic Drive Huntington WV 25701 Ph: (304) 781-8600 |
| NPI Number | 1003197070 |
|---|---|
| Provider Enumeration Date | 09/06/2011 |
| Last Update Date | 09/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003197070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3383 (West Virginia) | Secondary |
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