| Dr Lisa Jan Haddox-heston, DDS | |
|
1 Wildcat Way, Logan, WV 25601-3474 | |
| (304) 688-9949 | |
| (304) 688-9953 |
| Full Name | Dr Lisa Jan Haddox-heston |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 1 Wildcat Way, Logan, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881858637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2962 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Jan Haddox-heston, DDS 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806 | Dr Lisa Jan Haddox-heston, DDS 1 Wildcat Way, Logan, WV 25601-3474 Ph: (304) 688-9949 |
Dr. Susan Fowler Mccoy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 127 Prosperity Lane, Logan, WV 25601 Phone: 304-752-4801 Fax: 304-752-4825 | |
Dr. Hobert L Mack, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 505 Stratton St, Logan, WV 25601 Phone: 304-752-3563 Fax: 304-752-3148 | |
Dr. Shawn Everett Ballard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 127 Prosperity Ln, Logan, WV 25601 Phone: 304-752-4801 |