Jerry Mounts Dds, Inc | |
Mate Street Matewan WV 25678 | |
(304) 426-4161 | |
(304) 426-4162 |
Full Name | Jerry Mounts Dds, Inc |
---|---|
Speciality | Dentist - General Practice |
Location | Mate Street, Matewan, West Virginia |
Authorized Official Name and Position | Jerry Mounts (PRESIDENT) |
Authorized Official Contact | 3044264161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jerry Mounts Dds, Inc Po Box 537 Matewan WV 25678-0537 Ph: (304) 426-4161 | Jerry Mounts Dds, Inc Mate Street Matewan WV 25678 Ph: (304) 426-4161 |
NPI Number | 1285728188 |
---|---|
Provider Enumeration Date | 10/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285728188 | NPI | - | NPPES |
0137275000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2741 (West Virginia) | Primary |