| Patrick Jarrell | |
|
213 W Maple Ave Fayetteville WV 25840-1413 | |
| (304) 574-2833 | |
| (304) 574-2489 |
| Full Name | Patrick Jarrell |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 213 W Maple Ave, Fayetteville, West Virginia |
| Authorized Official Name and Position | Patrick D Jarrell (PRESIDENT) |
| Authorized Official Contact | 3045742833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Jarrell 213 W Maple Ave Fayetteville WV 25840-1413 Ph: (304) 574-2833 | Patrick Jarrell 213 W Maple Ave Fayetteville WV 25840-1413 Ph: (304) 574-2833 |
| NPI Number | 1154729994 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154729994 | NPI | - | NPPES |
| 233275554 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3575 (West Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | 3932 (West Virginia) | Secondary |
Bruce L. Cassis Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Lively St, Fayetteville, WV 25840 Phone: 304-574-0424 Fax: 304-574-2102 | |
Cassis Dental Center, Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 138 Lively St, Fayetteville, WV 25840 Phone: 304-574-0424 Fax: 304-574-2102 |