| Frederick H. Sammons, D.d.s., Ltd | |
|
6400 E Pea Ridge Rd Huntington WV 25705-2570 | |
| (304) 522-3512 | |
| (304) 522-6233 |
| Full Name | Frederick H. Sammons, D.d.s., Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6400 E Pea Ridge Rd, Huntington, West Virginia |
| Authorized Official Name and Position | Frederick Henry Sammons (ORTHDOONTIST) |
| Authorized Official Contact | 3045223512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick H. Sammons, D.d.s., Ltd 6400 E Pea Ridge Rd Huntington WV 25705-2570 Ph: (304) 522-3512 | Frederick H. Sammons, D.d.s., Ltd 6400 E Pea Ridge Rd Huntington WV 25705-2570 Ph: (304) 522-3512 |
| NPI Number | 1902160096 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 08/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902160096 | NPI | - | NPPES |
| 3810022161 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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