| Payton Southall, Dds, Pllc | |
|
220 Ragland Rd Beckley WV 25801-9721 | |
| (304) 252-0472 | |
| Not Available |
| Full Name | Payton Southall, Dds, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 220 Ragland Rd, Beckley, West Virginia |
| Authorized Official Name and Position | Payton Southall (PEDIATRIC DENTIST) |
| Authorized Official Contact | 3042520472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Payton Southall, Dds, Pllc 323 Shawnee Cir Mount Hope WV 25880-8988 Ph: () - | Payton Southall, Dds, Pllc 220 Ragland Rd Beckley WV 25801-9721 Ph: (304) 252-0472 |
| NPI Number | 1033963020 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 05/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033963020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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