| Steve Childress Ii, Dds | |
|
402 Carriage Dr Beckley WV 25801-2806 | |
| (304) 255-0439 | |
| Not Available |
| Full Name | Steve Childress Ii, Dds |
|---|---|
| Speciality | Dentist |
| Location | 402 Carriage Dr, Beckley, West Virginia |
| Authorized Official Name and Position | Steven Wayne Childress (OWNER/DENTIST) |
| Authorized Official Contact | 3042550439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steve Childress Ii, Dds 402 Carriage Dr Beckley WV 25801-2806 Ph: (304) 255-0439 | Steve Childress Ii, Dds 402 Carriage Dr Beckley WV 25801-2806 Ph: (304) 255-0439 |
| NPI Number | 1922578764 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 12/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922578764 | NPI | - | NPPES |
| 1548209869 | Medicaid | WV | |
| 1588145429 | Other | WV | NATIONAL PLAN & PROVIDER ENUMERATION SERVICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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