| Berkeley Springs Dentistry | |
|
1911 Valley Rd Berkeley Springs WV 25411-4815 | |
| (304) 258-7800 | |
| (304) 258-1260 |
| Full Name | Berkeley Springs Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1911 Valley Rd, Berkeley Springs, West Virginia |
| Authorized Official Name and Position | Magic M Miller (OWNER/DENTIST) |
| Authorized Official Contact | 3042587800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley Springs Dentistry 1911 Valley Rd Berkeley Springs WV 25411-4815 Ph: (304) 258-7800 | Berkeley Springs Dentistry 1911 Valley Rd Berkeley Springs WV 25411-4815 Ph: (304) 258-7800 |
| NPI Number | 1295266948 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 03/24/2017 |
| Medicare PECOS PAC ID | 5193094316 |
|---|---|
| Medicare Enrollment ID | O20170703000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295266948 | NPI | - | NPPES |
| 4003051000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3527 (West Virginia) | Primary |
Thomas W. Leslie, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Concord Ave, Berkeley Springs, WV 25411 Phone: 304-258-2291 Fax: 304-258-8188 | |
Sunny Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Concord Ave, Berkeley Springs, WV 25411 Phone: 304-258-2291 |