| Kingwood Family Dental | |
|
430 Morgantown St Kingwood WV 26537 | |
| (304) 329-3142 | |
| (304) 329-0700 |
| Full Name | Kingwood Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 430 Morgantown St, Kingwood, West Virginia |
| Authorized Official Name and Position | Christine Lavonne Dearth (OWNER PRESIDENT) |
| Authorized Official Contact | 3043293142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingwood Family Dental 430 Morgantown St Kingwood WV 26537 Ph: (304) 329-3142 | Kingwood Family Dental 430 Morgantown St Kingwood WV 26537 Ph: (304) 329-3142 |
| NPI Number | 1538132865 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538132865 | NPI | - | NPPES |
| 4040010000 | Medicaid | WV | |
| 104022 | Other | WV | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3416 (West Virginia) | Primary |
Everett & Howell Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Tunnelton St, Suite 214, Kingwood, WV 26537 Phone: 304-329-1989 Fax: 304-329-2550 | |
Gary G Naylor Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Tunnelton St Ste 214, Kingwood, WV 26537 Phone: 304-329-1989 | |
Preston Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Tunnelton St Ste 214, Kingwood, WV 26537 Phone: 304-329-1989 | |
Les E. Nicholson D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E Court St, Kingwood, WV 26537 Phone: 304-329-1691 Fax: 304-329-3382 |