| Dr W Shane Holmes Inc | |
|
867 Oakwood Rd Charleston WV 25314-2057 | |
| (304) 343-3672 | |
| (304) 720-3672 |
| Full Name | Dr W Shane Holmes Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 867 Oakwood Rd, Charleston, West Virginia |
| Authorized Official Name and Position | Warren Shane Holmes (ORTHODONTIST AND PRESIDENT) |
| Authorized Official Contact | 3043433672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr W Shane Holmes Inc 867 Oakwood Rd Charleston WV 25314-2057 Ph: (304) 343-3672 | Dr W Shane Holmes Inc 867 Oakwood Rd Charleston WV 25314-2057 Ph: (304) 343-3672 |
| NPI Number | 1710030697 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710030697 | NPI | - | NPPES |
| 4002075000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3383 (West Virginia) | Primary |
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