Berkeley Springs Dentistry | |
1911 Valley Rd Berkeley Springs WV 25411-4815 | |
(304) 258-7800 | |
(304) 258-1260 |
Full Name | Berkeley Springs Dentistry |
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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 |
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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 |
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Provider Enumeration Date | 03/24/2017 |
Last Update Date | 03/24/2017 |
Medicare PECOS PAC ID | 5193094316 |
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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 |