is a Oral and Maxillofacial Dental Clinic in Charleston, West Virginia. It is located at 1215 Virginia St E, Charleston, WV and its contact number is 304-345-1092. The authorized person for is Lesley Marie Coyner
who is Credentialing of the clinic and their contact number is 304-720-7819. 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:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
1215 Virginia St E, Charleston, West Virginia, 25301
Phone:
304-345-1092
Fax:
304-345-5080
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 clinic are as mentioned below.
NPI Number:
1346201183
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 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
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:
103 Station Place Way, Hurricane, West Virginia
Zip:
25526-8747
Phone Number:
304-720-7819
Fax Number:
304-345-5080
Patients can reach at 1215 Virginia St E, Charleston, West Virginia or can call to book an appointment on 304-345-1092. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.