Steve Childress Ii, Dds | |
402 Carriage Dr Beckley WV 25801-2806 | |
(304) 255-0439 | |
Not Available |
Full Name | Steve Childress Ii, Dds |
---|---|
Speciality | Dentist |
Location | 402 Carriage Dr, Beckley, West Virginia |
Authorized Official Name and Position | Steven Wayne Childress (OWNER/DENTIST) |
Authorized Official Contact | 3042550439 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Steve Childress Ii, Dds 402 Carriage Dr Beckley WV 25801-2806 Ph: (304) 255-0439 | Steve Childress Ii, Dds 402 Carriage Dr Beckley WV 25801-2806 Ph: (304) 255-0439 |
NPI Number | 1922578764 |
---|---|
Provider Enumeration Date | 12/04/2018 |
Last Update Date | 12/04/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922578764 | NPI | - | NPPES |
1548209869 | Medicaid | WV | |
1588145429 | Other | WV | NATIONAL PLAN & PROVIDER ENUMERATION SERVICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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