| Dr. Ronald A. Grace, Dds Pllc | |
|
15081 Maccorkle Ave Chelyan WV 25035 | |
| (304) 595-3551 | |
| (304) 595-6822 |
| Full Name | Dr. Ronald A. Grace, Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15081 Maccorkle Ave, Chelyan, West Virginia |
| Authorized Official Name and Position | Ronald A Grace (DENTIST) |
| Authorized Official Contact | 3045953551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ronald A. Grace, Dds Pllc Po Box 40 Cabin Creek WV 25035-0040 Ph: (304) 595-3551 | Dr. Ronald A. Grace, Dds Pllc 15081 Maccorkle Ave Chelyan WV 25035 Ph: (304) 595-3551 |
| NPI Number | 1043707334 |
|---|---|
| Provider Enumeration Date | 04/23/2018 |
| Last Update Date | 04/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043707334 | NPI | - | NPPES |
| 0137007000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2678 (West Virginia) | Primary |
Jrl Dental Dba Grace Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15081 Maccorkle Ave, Chelyan, WV 25035 Phone: 304-595-3551 Fax: 304-595-6822 |