| Thomas E Condron Dds | |
|
234 Court St Clarksburg WV 26301-2906 | |
| (304) 623-4984 | |
| (304) 623-2830 |
| Full Name | Thomas E Condron Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 234 Court St, Clarksburg, West Virginia |
| Authorized Official Name and Position | Thomas E Condron (DENTIST) |
| Authorized Official Contact | 3046234984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Condron Dds 234 Court St Clarksburg WV 26301-2906 Ph: (304) 623-4984 | Thomas E Condron Dds 234 Court St Clarksburg WV 26301-2906 Ph: (304) 623-4984 |
| NPI Number | 1457415135 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 03/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457415135 | NPI | - | NPPES |
| 0134914000 | Medicaid | WV | |
| 0137302000 | Medicaid | WV | |
| 03810005032 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | WV1963 (West Virginia) | Primary |
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