| Mt State Oral & Maxillofacial Surge | |
|
417 Grand Park Dr Suite 103 Parkersburg WV 26105 | |
| (304) 699-5010 | |
| (304) 553-7268 |
| Full Name | Mt State Oral & Maxillofacial Surge |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 417 Grand Park Dr, Parkersburg, West Virginia |
| Authorized Official Name and Position | Lesley Marie Coyner (CREDENTIALING) |
| Authorized Official Contact | 3047207819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt State Oral & Maxillofacial Surge 103 Station Place Way Hurricane WV 25526-8747 Ph: (304) 720-7819 | Mt State Oral & Maxillofacial Surge 417 Grand Park Dr Suite 103 Parkersburg WV 26105 Ph: (304) 699-5010 |
| NPI Number | 1356772677 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356772677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (West Virginia) | Primary |
Jason M. Roush D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Blizzard Dr, Parkersburg, WV 26101 Phone: 304-420-0922 Fax: 304-420-0924 | |
Dale E Brum, D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Avery St, Parkersburg, WV 26101 Phone: 304-428-1151 Fax: 304-428-0082 | |
Eckels Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Garfield Ave # 1, Parkersburg, WV 26101 Phone: 304-422-6477 | |
Douglas A Florence Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Grand Park Dr, Suites 109, Parkersburg, WV 26105 Phone: 304-422-4455 | |
Affiliated Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 18th St, Suite 304, Parkersburg, WV 26101 Phone: 304-424-4961 Fax: 314-424-4861 | |
Drs B Noorbakhsh And T Dean Bobbitt Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2801 Dudley Ave, Suite C, Parkersburg, WV 26101 Phone: 304-428-2800 Fax: 304-428-5227 | |
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