| Laura Marple Dds | |
|
304 Riverview Dr Sutton WV 26601-1343 | |
| (304) 765-2522 | |
| (304) 765-2622 |
| Full Name | Laura Marple Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 304 Riverview Dr, Sutton, West Virginia |
| Authorized Official Name and Position | Laura L Marple (OWNER) |
| Authorized Official Contact | 3047652522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Marple Dds 304 Riverview Dr Po Box 485 Sutton WV 26601-1343 Ph: (304) 765-2522 | Laura Marple Dds 304 Riverview Dr Sutton WV 26601-1343 Ph: (304) 765-2522 |
| NPI Number | 1306278429 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306278429 | NPI | - | NPPES |
| 0136378000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2494 (West Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | 4064 (West Virginia) | Secondary |
Kristina W. Naternicola, Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Riverview Dr, Sutton, WV 26601 Phone: 304-765-2522 |