| Dr L E Cole Dds Inc | |
|
Rt 52 Gilbert WV 25621-1298 | |
| (304) 664-8163 | |
| Not Available |
| Full Name | Dr L E Cole Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | Rt 52, Gilbert, West Virginia |
| Authorized Official Name and Position | Larry E Cole (PRESIDENT OF CORPORATION DENTIST) |
| Authorized Official Contact | 3046648163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr L E Cole Dds Inc Po Box 1298 Gilbert WV 25621-1298 Ph: (304) 664-8163 | Dr L E Cole Dds Inc Rt 52 Gilbert WV 25621-1298 Ph: (304) 664-8163 |
| NPI Number | 1508953159 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508953159 | NPI | - | NPPES |
| 0133824000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2991 (West Virginia) | Primary |