| Les E. Nicholson D.d.s. Inc. | |
|
112 E Court St Kingwood WV 26537-1437 | |
| (304) 329-1691 | |
| (304) 329-3382 |
| Full Name | Les E. Nicholson D.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 112 E Court St, Kingwood, West Virginia |
| Authorized Official Name and Position | Les Edward Nicholson (PRESIDENT) |
| Authorized Official Contact | 3043291691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Les E. Nicholson D.d.s. Inc. Po Box 486 Kingwood WV 26537-0486 Ph: (304) 329-1691 | Les E. Nicholson D.d.s. Inc. 112 E Court St Kingwood WV 26537-1437 Ph: (304) 329-1691 |
| NPI Number | 1649201443 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649201443 | NPI | - | NPPES |
| 42673 | Other | WV | UNITED CONCORDIA CORP # |
| 0136227001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2331 (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 | |
Kingwood Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 Morgantown St, Kingwood, WV 26537 Phone: 304-329-3142 Fax: 304-329-0700 | |
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 |