| Cheat Lake Family Dentistry | |
|
230 Lakewood Ctr Morgantown WV 26508-4457 | |
| (304) 594-9005 | |
| Not Available |
| Full Name | Cheat Lake Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 230 Lakewood Ctr, Morgantown, West Virginia |
| Authorized Official Name and Position | Allison Wilson (OWNER) |
| Authorized Official Contact | 3045949005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheat Lake Family Dentistry 230 Lakewood Ctr Morgantown WV 26508-4457 Ph: () - | Cheat Lake Family Dentistry 230 Lakewood Ctr Morgantown WV 26508-4457 Ph: (304) 594-9005 |
| NPI Number | 1467800417 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467800417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3565 (West Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | 3574 (West Virginia) | Secondary |
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