| Kennedy Dental Office | |
|
38924 Coal River Rd. Whitesville WV 25209 | |
| (304) 854-2110 | |
| (304) 854-2111 |
| Full Name | Kennedy Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 38924 Coal River Rd., Whitesville, West Virginia |
| Authorized Official Name and Position | Kimberly A. Dillon (ACCOUNT MANAGER) |
| Authorized Official Contact | 3047449717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Dental Office Po Box 776 Whitesville WV 25209-0776 Ph: (304) 854-2110 | Kennedy Dental Office 38924 Coal River Rd. Whitesville WV 25209 Ph: (304) 854-2110 |
| NPI Number | 1033270970 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033270970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Ronald Andrew Dickens, D.d.s., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 38924 Coal River Rd, Whitesville, WV 25209 Phone: 304-854-2110 |