| Valley Health Upper Kanawha Dental | |
|
408 Alexander Street P.o. Box F Cedar Grove WV 25309 | |
| (304) 595-1770 | |
| Not Available |
| Full Name | Valley Health Upper Kanawha Dental |
|---|---|
| Speciality | Dentist |
| Location | 408 Alexander Street, Cedar Grove, West Virginia |
| Authorized Official Name and Position | Richard Weinberger (CFO) |
| Authorized Official Contact | 3045253334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Health Upper Kanawha Dental Po Box 1680 Huntington WV 25717-1680 Ph: (304) 697-1396 | Valley Health Upper Kanawha Dental 408 Alexander Street P.o. Box F Cedar Grove WV 25309 Ph: (304) 595-1770 |
| NPI Number | 1477885044 |
|---|---|
| Provider Enumeration Date | 02/08/2010 |
| Last Update Date | 01/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477885044 | NPI | - | NPPES |
| 3810017446 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3400 (West Virginia) | Primary |
Valley Health Upper Kanawha Dental Clinic Medicare: Medicare Enrolled Practice Location: 408 Alexander Street, Cedar Grove, WV 25039 Phone: 304-595-1770 |