Young Smiles Wv | |
140 7th Ave South Charlestown WV 25303 | |
(304) 342-4422 | |
(304) 400-4986 |
Full Name | Young Smiles Wv |
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Speciality | Dentist - Pediatric Dentistry |
Location | 140 7th Ave, South Charlestown, West Virginia |
Authorized Official Name and Position | Jarrel R Martin (MEMBER/OWNER) |
Authorized Official Contact | 3044190125 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Young Smiles Wv 140 7th Ave South Charlestown WV 25303 Ph: (304) 342-4422 | Young Smiles Wv 140 7th Ave South Charlestown WV 25303 Ph: (304) 342-4422 |
NPI Number | 1760810444 |
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Provider Enumeration Date | 10/16/2013 |
Last Update Date | 06/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760810444 | NPI | - | NPPES |
3810000582 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3945 (West Virginia) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 3827 (West Virginia) | Primary |