| Tom Honaker Dds Pllc | |
|
1717 Jefferson St Bluefield WV 24701-4013 | |
| (304) 327-2471 | |
| Not Available |
| Full Name | Tom Honaker Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1717 Jefferson St, Bluefield, West Virginia |
| Authorized Official Name and Position | Thomas Honaker (SOLE MEMBER) |
| Authorized Official Contact | 3043272471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Honaker Dds Pllc 1717 Jefferson St Bluefield WV 24701-4013 Ph: (304) 327-2471 | Tom Honaker Dds Pllc 1717 Jefferson St Bluefield WV 24701-4013 Ph: (304) 327-2471 |
| NPI Number | 1972148229 |
|---|---|
| Provider Enumeration Date | 11/11/2019 |
| Last Update Date | 11/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972148229 | NPI | - | NPPES |
| 3544 | Other | WV | WV DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Ethan Lafferty, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Stadium Dr, Bluefield, WV 24701 Phone: 304-327-7135 Fax: 304-327-0758 | |
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