| Leroy R Jackson Jr Dds Pllc | |
|
215 E 5th Ave Ranson WV 25438-1613 | |
| (304) 725-8660 | |
| (304) 728-7519 |
| Full Name | Leroy R Jackson Jr Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 215 E 5th Ave, Ranson, West Virginia |
| Authorized Official Name and Position | Ellen Rossberg (OWNER) |
| Authorized Official Contact | 9047256634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leroy R Jackson Jr Dds Pllc 215 E 5th Ave Ranson WV 25438-1613 Ph: () - | Leroy R Jackson Jr Dds Pllc 215 E 5th Ave Ranson WV 25438-1613 Ph: (304) 725-8660 |
| NPI Number | 1497010136 |
|---|---|
| Provider Enumeration Date | 07/09/2012 |
| Last Update Date | 07/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497010136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Allen A. Zarrinfar, D.d.s., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 E 5th Ave, Ranson, WV 25438 Phone: 304-725-8660 Fax: 304-728-7519 | |
Tari Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 E 5th Ave, Ranson, WV 25438 Phone: 304-725-1333 |