Charles E. Sammons, Dds | |
180 Mingo Avenue Kermit WV 25674-0248 | |
(304) 393-1030 | |
(304) 393-1026 |
Full Name | Charles E. Sammons, Dds |
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Speciality | Dentist - General Practice |
Location | 180 Mingo Avenue, Kermit, West Virginia |
Authorized Official Name and Position | Charles E Sammons (OWNER) |
Authorized Official Contact | 3043931030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charles E. Sammons, Dds 180 Mingo Avenue P.o. Box 248 Kermit WV 25674-0248 Ph: (304) 393-1030 | Charles E. Sammons, Dds 180 Mingo Avenue Kermit WV 25674-0248 Ph: (304) 393-1030 |
NPI Number | 1417107889 |
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Provider Enumeration Date | 09/23/2008 |
Last Update Date | 09/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417107889 | NPI | - | NPPES |
0136867000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2668 (West Virginia) | Primary |