| Les E. Nicholson D.d.s. Inc. | |
|
2220 Cheat Rd Morgantown WV 26508-4453 | |
| (304) 594-1499 | |
| (304) 594-0150 |
| Full Name | Les E. Nicholson D.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2220 Cheat Rd, Morgantown, West Virginia |
| Authorized Official Name and Position | Les Edward Nicholson (PRESIDENT) |
| Authorized Official Contact | 3045941499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Les E. Nicholson D.d.s. Inc. 2220 Cheat Rd Morgantown WV 26508-4453 Ph: (304) 594-1499 | Les E. Nicholson D.d.s. Inc. 2220 Cheat Rd Morgantown WV 26508-4453 Ph: (304) 594-1499 |
| NPI Number | 1457397432 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457397432 | NPI | - | NPPES |
| 98787 | Other | WV | UNITED CONCORDIA CORP # |
| 0136227001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2331 (West Virginia) | Primary |
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