| 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 |