| Panucci & Jackfert Orthodontics, Inc. | |
|
133 7th Ave South Charleston WV 25303-1417 | |
| (304) 744-6311 | |
| (304) 744-8832 |
| Full Name | Panucci & Jackfert Orthodontics, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 133 7th Ave, South Charleston, West Virginia |
| Authorized Official Name and Position | Donna Lynn Panucci (PRESIDENT) |
| Authorized Official Contact | 3047446311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panucci & Jackfert Orthodontics, Inc. 133 7th Ave South Charleston WV 25303-1417 Ph: (304) 744-6311 | Panucci & Jackfert Orthodontics, Inc. 133 7th Ave South Charleston WV 25303-1417 Ph: (304) 744-6311 |
| NPI Number | 1346793668 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346793668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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› Verified 3 days ago
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