| Dr Russell Brooks Legg Vii, DDS | |
|
63 Carr St, Clay, WV 25043-9402 | |
| (304) 587-4232 | |
| (304) 587-2092 |
| Full Name | Dr Russell Brooks Legg Vii |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 63 Carr St, Clay, 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 |
|---|---|---|---|
| 1285673905 | NPI | - | NPPES |
| 0135486000 | Medicaid | WV | |
| WV2123 | Other | WV | STATE LICENSE |
| 000728088 | Other | MT. STATE BC/BS INSURANCE | |
| 728088 | Other | UNITED CONCORDIA INSURANC | |
| 55-0560454 | Other | WV | FEIN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | WV-2123 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell Brooks Legg Vii, DDS 63 Carr St, P. O. Box 568, Clay, WV 25043-9402 Ph: (304) 587-4232 | Dr Russell Brooks Legg Vii, DDS 63 Carr St, Clay, WV 25043-9402 Ph: (304) 587-4232 |
Dr. Stacy L Bowen, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 319 Main St., Clay, WV 25043 Phone: 304-587-7495 Fax: 304-587-7524 | |
Dr. Gary M Bowen Ii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 319 Main St., Clay, WV 25043 Phone: 304-587-7495 Fax: 304-587-7524 |