| John W Perrine, Dds | |
|
7028 Webster Rd Cowen WV 26206-8720 | |
| (304) 226-5114 | |
| (304) 226-0650 |
| Full Name | John W Perrine, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7028 Webster Rd, Cowen, West Virginia |
| Authorized Official Name and Position | John W Perrine (OWNER) |
| Authorized Official Contact | 3042265114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W Perrine, Dds Po Box 1079 Cowen WV 26206-1079 Ph: (304) 226-5114 | John W Perrine, Dds 7028 Webster Rd Cowen WV 26206-8720 Ph: (304) 226-5114 |
| NPI Number | 1992270367 |
|---|---|
| Provider Enumeration Date | 10/11/2018 |
| Last Update Date | 10/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992270367 | NPI | - | NPPES |
| 0137082000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |