Mt. State Oral & Maxillofacial Surgeons is a Oral and Maxillofacial Dental Clinic in Hurricane, West Virginia. It is located at 100a Prestige Park Dr, Hurricane, WV and its contact number is 304-757-0272. The authorized person for Mt. State Oral & Maxillofacial Surgeons is Lesley Marie Coyner
who is Credentialing of the clinic and their contact number is 304-720-7819. Mt. State Oral & Maxillofacial Surgeons Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Mt. State Oral & Maxillofacial Surgeons Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mt. State Oral & Maxillofacial Surgeons
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
100a Prestige Park Dr, Hurricane, West Virginia, 25526
Phone:
304-757-0272
Fax:
304-757-0273
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Lesley Marie Coyner
Position:
Credentialing
Contact Number:
304-720-7819
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mt. State Oral & Maxillofacial Surgeons clinic are as mentioned below.
NPI Number:
1992766737
NPI Enumeration Date:
31 Mar, 2006
NPI Last Update On:
03 Dec, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mt. State Oral & Maxillofacial Surgeons are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000817140
Other
West Virginia
Mt. State Bcbs
4500012000
Medicaid
Washington
9305402
Other
West Virginia
Medicare Ptan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mt. State Oral & Maxillofacial Surgeons 103 Station Place Way, Hurricane, West Virginia
Zip:
25526-8747
Phone Number:
304-345-1092
Fax Number:
304-345-5080
Patients can reach Mt. State Oral & Maxillofacial Surgeons at 100a Prestige Park Dr, Hurricane, West Virginia or can call to book an appointment on 304-757-0272. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.