Shammaa Orthodontics | |
417 Grand Park Dr Ste 107 Parkersburg WV 26105-4063 | |
(304) 720-7771 | |
(304) 925-4259 |
Full Name | Shammaa Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 417 Grand Park Dr Ste 107, Parkersburg, West Virginia |
Authorized Official Name and Position | Imad Shammaa (OWNER) |
Authorized Official Contact | 3049254258 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shammaa Orthodontics 417 Grand Park Dr Ste 107 Parkersburg WV 26105-4063 Ph: (304) 720-7771 | Shammaa Orthodontics 417 Grand Park Dr Ste 107 Parkersburg WV 26105-4063 Ph: (304) 720-7771 |
NPI Number | 1871025429 |
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Provider Enumeration Date | 04/03/2017 |
Last Update Date | 05/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871025429 | NPI | - | NPPES |
0077946000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3192 (West Virginia) | Primary |
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