Daniel Brody, DDS | |
#71 Wayne Street, Fort Gay, WV 25514-8518 | |
(304) 648-5433 | |
Not Available |
Full Name | Daniel Brody |
---|---|
Gender | Male |
Speciality | Dentist |
Location | #71 Wayne Street, Fort Gay, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609856509 | NPI | - | NPPES |
60690237 | Medicaid | KY | |
0137071000 | Medicaid | WV | |
0068952 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2768 (West Virginia) | Primary |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720333461 PECOS PAC ID: 9931017969 Enrollment ID: O20130319000031 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1548542277 PECOS PAC ID: 9931017969 Enrollment ID: O20130415000484 |
Mailing Address | Practice Location Address |
---|---|
Daniel Brody, DDS 2585 3rd Ave, Huntington, WV 25703-1642 Ph: (304) 697-1396 | Daniel Brody, DDS #71 Wayne Street, Fort Gay, WV 25514-8518 Ph: (304) 648-5433 |
Baileigh Nycole Mckenzie, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 71 Wayne St, Fort Gay, WV 25514 Phone: 304-648-5544 | |
Dr. William Vincent Powell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 71 Wayne St, Fort Gay, WV 25514 Phone: 304-648-5544 Fax: 304-648-5989 |