| Shammaa Orthodontics | |
|
417 Grand Park Dr Ste 107 Parkersburg WV 26105-4063 | |
| (304) 720-7771 | |
| (304) 925-4259 |
| Full Name | Shammaa Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 417 Grand Park Dr Ste 107, Parkersburg, West Virginia |
| Authorized Official Name and Position | Imad Shammaa (OWNER) |
| Authorized Official Contact | 3049254258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shammaa Orthodontics 417 Grand Park Dr Ste 107 Parkersburg WV 26105-4063 Ph: (304) 720-7771 | Shammaa Orthodontics 417 Grand Park Dr Ste 107 Parkersburg WV 26105-4063 Ph: (304) 720-7771 |
| NPI Number | 1871025429 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 05/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871025429 | NPI | - | NPPES |
| 0077946000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3192 (West Virginia) | Primary |
News Archive
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› Verified 8 days ago
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