| Coal Grove Dental | |
|
205 Marion Pike Coal Grove OH 45638-3165 | |
| (740) 532-1188 | |
| (740) 532-1183 |
| Full Name | Coal Grove Dental |
|---|---|
| Speciality | Dentist |
| Location | 205 Marion Pike, Coal Grove, Ohio |
| Authorized Official Name and Position | Richard Weinberger (CFO) |
| Authorized Official Contact | 3045253334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coal Grove Dental 2585 3rd Ave Huntington WV 25703-1642 Ph: (304) 697-1396 | Coal Grove Dental 205 Marion Pike Coal Grove OH 45638-3165 Ph: (740) 532-1188 |
| NPI Number | 1316493356 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316493356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Ohio) | Primary |