Dr Paul William Kloostra, MD, DDS | |
830 Pennsylvania Ave, Suite 302, Charleston, WV 25302-3302 | |
(304) 388-2950 | |
(304) 388-2951 |
Full Name | Dr Paul William Kloostra |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 17 Years |
Location | 830 Pennsylvania Ave, Charleston, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952503104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 26313 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Charleston Area Medical Center | Charleston, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charleston Area Medical Center Inc | 3375441637 | 675 |
Entity Name | Charleston Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul William Kloostra, MD, DDS 830 Pennsylvania Ave 302, Charleston, WV 25302-3390 Ph: (304) 388-2950 | Dr Paul William Kloostra, MD, DDS 830 Pennsylvania Ave, Suite 302, Charleston, WV 25302-3302 Ph: (304) 388-2950 |
Mr. Alan Kelso Vance, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1031 Quarrier St Suite 502, Charleston, WV 25301 Phone: 304-343-1733 Fax: 304-343-1734 | |
Dr. Ernest N Pennington, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 Brooks St, Charleston, WV 25301 Phone: 304-344-0344 Fax: 304-344-0354 | |
Dr. Daniel K Monday, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1213 Virginia St E, Charleston, WV 25301 Phone: 304-343-1216 Fax: 304-343-1292 | |
William M. Oscanyan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Camc Dental Center, Charleston, WV 25304 Phone: 304-388-9335 Fax: 304-388-8882 | |
William Christopher Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 Leon Sullivan Way, Charleston, WV 25301 Phone: 304-342-1181 Fax: 304-342-4009 | |
Andrew J Zegeer, Dentist Medicare: Medicare Enrolled Practice Location: 112 Morris Street, Ste 2, Charleston, WV 25301 Phone: 304-833-9033 Fax: 304-840-0216 | |
Dr. Matthew Brooks Kerner, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 803 Pennsylvania Ave, Ste 302, Charleston, WV 25302 Phone: 304-388-2950 Fax: 304-388-2951 |