Thomas H. Greene Dmd Inc | |
1109 Fledderjohn Rd Charleston WV 25314-4204 | |
(304) 345-7402 | |
(304) 345-7402 |
Full Name | Thomas H. Greene Dmd Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 1109 Fledderjohn Rd, Charleston, West Virginia |
Authorized Official Name and Position | Carole F Greene (V. PRES-BUSI. MGR.) |
Authorized Official Contact | 3043457402 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas H. Greene Dmd Inc 1109 Fledderjohn Rd Charleston WV 25314-4204 Ph: (304) 345-7402 | Thomas H. Greene Dmd Inc 1109 Fledderjohn Rd Charleston WV 25314-4204 Ph: (304) 345-7402 |
NPI Number | 1447324884 |
---|---|
Provider Enumeration Date | 11/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447324884 | NPI | - | NPPES |
0135218000 | Medicaid | WV | |
464482 | Other | WV | ANTHEM BLUE CROSS BLUE SH |
545343 | Other | WV | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1596 (West Virginia) | Primary |
News Archive
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