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1427 Ritchie Street & Cook Parkway Oceana WV 24870-1438 | |
| (304) 682-6104 | |
| (304) 682-6157 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1427 Ritchie Street & Cook Parkway, Oceana, West Virginia |
| Authorized Official Name and Position | Michelle Dawne Brown (PRESIDENT) |
| Authorized Official Contact | 3046826104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1438 Oceana WV 24870-1438 Ph: (304) 682-6104 | 1427 Ritchie Street & Cook Parkway Oceana WV 24870-1438 Ph: (304) 682-6104 |
| NPI Number | 1518066356 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518066356 | NPI | - | NPPES |
| 3810004900 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | -002 (West Virginia) | Primary |
Oceana Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1427 Cook Parkway, Oceana, WV 24870 Phone: 304-682-6104 Fax: 304-682-6157 |