| Daniel Bonner | |
|
372 Middleway Pike Ste A Inwood WV 25428-3909 | |
| (304) 229-5851 | |
| Not Available |
| Full Name | Daniel Bonner |
|---|---|
| Speciality | Dentist |
| Location | 372 Middleway Pike Ste A, Inwood, West Virginia |
| Authorized Official Name and Position | Amanda Gail Hess (OFFICE MANAGER) |
| Authorized Official Contact | 3042295851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Bonner 372 Middleway Pike Ste A Inwood WV 25428-3909 Ph: (304) 229-5851 | Daniel Bonner 372 Middleway Pike Ste A Inwood WV 25428-3909 Ph: (304) 229-5851 |
| NPI Number | 1225554967 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225554967 | NPI | - | NPPES |
| 0137049000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2419 (West Virginia) | Primary |
Matthew Lee Miller Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 372 Middleway Pike Ste A, Inwood, WV 25428 Phone: 304-229-5851 Fax: 304-229-0666 |