Kanawha Citiy Pediatric Dentistry is a Pediatric Dental Clinic in Charleston, West Virginia. It is located at 4502 Maccorkle Ave Se, Suite C, Charleston, WV and its contact number is 304-926-9260. The authorized person for Kanawha Citiy Pediatric Dentistry is Dr. Don E Skaff
who is Owner of the clinic and their contact number is 304-926-9260. The primary license number for Kanawha Citiy Pediatric Dentistry is 2869 (Pediatric Dentistry) in West Virginia. Kanawha Citiy Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Kanawha Citiy Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kanawha Citiy Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
4502 Maccorkle Ave Se, Suite C, Charleston, West Virginia, 25304-1835
Phone:
304-926-9260
Fax:
304-926-9266
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:
Dr. Don E Skaff
Position:
Owner
Contact Number:
304-926-9260
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 Kanawha Citiy Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1740621036
NPI Enumeration Date:
15 Jul, 2013
NPI Last Update On:
15 Jul, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kanawha Citiy Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
2869
West Virginia
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
0138545000
Medicaid
West Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kanawha Citiy Pediatric Dentistry 4502 Maccorkle Ave Se, Suite C Charleston, West Virginia
Zip:
25304-1835
Phone Number:
304-926-9260
Fax Number:
304-926-9266
Patients can reach Kanawha Citiy Pediatric Dentistry at 4502 Maccorkle Ave Se, Suite C, Charleston, West Virginia or can call to book an appointment on 304-926-9260. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.