| Thomas H. Greene Dmd Inc | |
|
1109 Fledderjohn Rd Charleston WV 25314-4204 | |
| (304) 345-7402 | |
| (304) 345-7402 |
| Full Name | Thomas H. Greene Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1109 Fledderjohn Rd, Charleston, West Virginia |
| Authorized Official Name and Position | Carole F Greene (V. PRES-BUSI. MGR.) |
| Authorized Official Contact | 3043457402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas H. Greene Dmd Inc 1109 Fledderjohn Rd Charleston WV 25314-4204 Ph: (304) 345-7402 | Thomas H. Greene Dmd Inc 1109 Fledderjohn Rd Charleston WV 25314-4204 Ph: (304) 345-7402 |
| NPI Number | 1447324884 |
|---|---|
| Provider Enumeration Date | 11/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447324884 | NPI | - | NPPES |
| 0135218000 | Medicaid | WV | |
| 464482 | Other | WV | ANTHEM BLUE CROSS BLUE SH |
| 545343 | Other | WV | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1596 (West Virginia) | Primary |
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