| Joanna S. Luciano Parker, Dds, Pllc | |
|
46 Trifecta Pl Ste 102 Charles Town WV 25414-5652 | |
| (304) 725-0508 | |
| (304) 728-8761 |
| Full Name | Joanna S. Luciano Parker, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 46 Trifecta Pl Ste 102, Charles Town, West Virginia |
| Authorized Official Name and Position | Joanna Susan Luciano Parker (GENERAL DENTIST) |
| Authorized Official Contact | 3045797508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna S. Luciano Parker, Dds, Pllc 46 Trifecta Pl Ste 102 Charles Town WV 25414-5652 Ph: (304) 725-0508 | Joanna S. Luciano Parker, Dds, Pllc 46 Trifecta Pl Ste 102 Charles Town WV 25414-5652 Ph: (304) 725-0508 |
| NPI Number | 1366865552 |
|---|---|
| Provider Enumeration Date | 01/24/2014 |
| Last Update Date | 01/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366865552 | NPI | - | NPPES |
| 06586 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Andrew Lusk Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Trifecta Pl Ste 100, Charles Town, WV 25414 Phone: 304-687-8406 | |
Alt V Dental Wv Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Charles St, Charles Town, WV 25414 Phone: 330-951-9153 Fax: 888-817-9032 | |
Richard Diaz, Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Charles St, Charles Town, WV 25414 Phone: 304-725-4492 Fax: 304-725-9700 |