| Camele&parker Dds, Inc. | |
|
330 E Main St Mannington WV 26582-1102 | |
| (304) 986-2610 | |
| (304) 986-2919 |
| Full Name | Camele&parker Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 E Main St, Mannington, West Virginia |
| Authorized Official Name and Position | Anthony Louis Camele (PRESIDENT) |
| Authorized Official Contact | 3049862610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camele&parker Dds, Inc. 330 E Main St Mannington WV 26582-1102 Ph: (304) 986-2610 | Camele&parker Dds, Inc. 330 E Main St Mannington WV 26582-1102 Ph: (304) 986-2610 |
| NPI Number | 1548311921 |
|---|---|
| Provider Enumeration Date | 01/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548311921 | NPI | - | NPPES |
| 3810005226 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2351 (West Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | 2766 (West Virginia) | Secondary |
Main Street Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 E Main St, Mannington, WV 26582 Phone: 304-986-2610 Fax: 304-986-2616 |