| Charleston Dental Associates | |
|
111 Brooks St Charleston WV 25301-2904 | |
| (304) 344-0344 | |
| (304) 344-0354 |
| Full Name | Charleston Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 Brooks St, Charleston, West Virginia |
| Authorized Official Name and Position | Ernest Norman Pennington (DENTIST) |
| Authorized Official Contact | 3043440344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Dental Associates 111 Brooks St Charleston WV 25301-2904 Ph: (304) 344-0344 | Charleston Dental Associates 111 Brooks St Charleston WV 25301-2904 Ph: (304) 344-0344 |
| NPI Number | 1629499553 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 12/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629499553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2194 (West Virginia) | Primary |
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