| |
1830 Listravia Ave Morgantown WV 26505-6318 | |
(304) 292-4412 | |
(304) 225-2464 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 1830 Listravia Ave, Morgantown, West Virginia |
Authorized Official Name and Position | Robert V Martino (CEO) |
Authorized Official Contact | 3046245250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
516 Cost Ave Stonewood WV 26301-4811 Ph: (304) 624-5250 | 1830 Listravia Ave Morgantown WV 26505-6318 Ph: (304) 292-4412 |
NPI Number | 1336232586 |
---|---|
Provider Enumeration Date | 10/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336232586 | NPI | - | NPPES |
0204358000 | Other | WV | WV DENTAL MEDICAL CARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3070 (West Virginia) | Primary |
James G Bryant Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Hampton Ctr Ste 1, Morgantown, WV 26505 Phone: 304-598-2012 Fax: 304-598-2018 | |
Dr. Timothy D. Sines, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1193 Pineview Dr Ste A, Morgantown, WV 26505 Phone: 304-599-8250 Fax: 304-599-6684 | |
Appalachian Oral Surgery Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3433 University Ave, Suite 1, Morgantown, WV 26505 Phone: 304-322-4532 | |
West Virginia Universtiy Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 451/453 Suncrest Town Centre Drive, Morgantown, WV 26505 Phone: 304-293-2240 Fax: 304-293-7646 | |
William A. Myers Ii Dmd Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1191 Pineview Dr Ste D, Morgantown, WV 26505 Phone: 304-599-2415 |