| William A. Klenk Dds, Inc. | |
|
26496 Midland Trail Hico WV 25854-0497 | |
| (304) 658-5282 | |
| (304) 658-5299 |
| Full Name | William A. Klenk Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26496 Midland Trail, Hico, West Virginia |
| Authorized Official Name and Position | William Adam Klenk (PRESIDENT) |
| Authorized Official Contact | 3046585282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William A. Klenk Dds, Inc. Po Box 497 26496 Midland Trail Hico WV 25854-0497 Ph: (304) 658-5282 | William A. Klenk Dds, Inc. 26496 Midland Trail Hico WV 25854-0497 Ph: (304) 658-5282 |
| NPI Number | 1255582219 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255582219 | NPI | - | NPPES |
| 0132483000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | WV 2864 (West Virginia) | Primary |