is a Pediatric Dental Clinic in Hurricane, West Virginia. It is located at 3659 Teays Valley Road, Suite 100, Hurricane, WV and its contact number is 304-201-8500. The authorized person for is John Patrick Martin
who is Pediatric Dentist of the clinic and their contact number is 304-201-8500. The primary license number for is WV3264 (Pediatric Dentistry) in West Virginia. 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:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Pediatric Dentistry
Clinic Address:
3659 Teays Valley Road, Suite 100, Hurricane, West Virginia, 25526-9701
Phone:
304-201-8500
Fax:
304-201-8505
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:
John Patrick Martin
Position:
Pediatric Dentist
Contact Number:
304-201-8500
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:
1881730844
NPI Enumeration Date:
29 Jan, 2007
NPI Last Update On:
22 Aug, 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
Pediatric Dentistry
WV3264
West Virginia
Primary
Pediatric Dentistry
WV3568
West Virginia
Secondary
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
3810002523
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:
Po Box 581, Hurricane, West Virginia
Zip:
25526-0581
Phone Number:
304-201-8500
Fax Number:
304-201-8505
Patients can reach at 3659 Teays Valley Road, Suite 100, Hurricane, West Virginia or can call to book an appointment on 304-201-8500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.