| Dr Krystin Bourdua Austin, DDS | |
|
3997 Beckley Rd, Princeton, WV 24740-7660 | |
| (304) 425-4585 | |
| (304) 431-3400 |
| Full Name | Dr Krystin Bourdua Austin |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 3997 Beckley Rd, Princeton, 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 |
|---|---|---|---|
| 1407385735 | NPI | - | NPPES |
| 1407385735 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4265 (West Virginia) | Primary |
| Entity Name | Bluestone Health Association Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1346266848 PECOS PAC ID: 3577505221 Enrollment ID: O20051115000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Krystin Bourdua Austin, DDS 3997 Beckley Rd, Princeton, WV 24740-7660 Ph: (304) 431-5499 | Dr Krystin Bourdua Austin, DDS 3997 Beckley Rd, Princeton, WV 24740-7660 Ph: (304) 425-4585 |
Mrs. Laura Cox Williams, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 Locust St, Princeton, WV 24740 Phone: 304-487-5605 Fax: 304-487-5610 | |
Mr. Jon Michael Lovern, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 South Seventh Street, Princeton, WV 24740 Phone: 304-425-9519 Fax: 304-487-5013 | |
Dr. Charles H Mann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 Stafford Dr, Princeton, WV 24740 Phone: 304-425-7320 | |
Dr. Edward Lynn Veneri, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 100 Morrison Dr, Princeton, WV 24740 Phone: 304-425-8886 | |
Dr. Douglas H Roy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 102 Vine St, Princeton, WV 24740 Phone: 304-487-3115 Fax: 304-487-3120 | |
Dr. David Thomas St Clair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 New Hope Road, Medical Arts Clinic Suite 205, Princeton, WV 24740 Phone: 304-487-5437 | |
Dr. David Allen Wallace, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 206 S Walker St, Princeton, WV 24740 Phone: 304-425-2611 |