Joseph Douglas, DDS | |
479 Flat Top Rd, Shady Spring, WV 25918-8614 | |
(304) 763-4665 | |
Not Available |
Full Name | Joseph Douglas |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 479 Flat Top Rd, Shady Spring, 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 |
---|---|---|---|
1992231674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4277 (West Virginia) | Primary |
Entity Name | New River Health Association Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1811983331 PECOS PAC ID: 2365348596 Enrollment ID: O20071009000136 |
Entity Name | New River Health Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457846362 PECOS PAC ID: 2365348596 Enrollment ID: O20210805000743 |
Entity Name | New River Health Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386318756 PECOS PAC ID: 2365348596 Enrollment ID: O20210903001544 |
Mailing Address | Practice Location Address |
---|---|
Joseph Douglas, DDS 479 Flat Top Rd, Shady Spring, WV 25918-8614 Ph: (304) 763-4665 | Joseph Douglas, DDS 479 Flat Top Rd, Shady Spring, WV 25918-8614 Ph: (304) 763-4665 |
Benjamin R Hiener, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 479 Flat Top Rd., Shady Spring, WV 25918 Phone: 304-763-4665 | |
Dr. Skylar Kipps, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 479 Flat Top Rd, Shady Spring, WV 25918 Phone: 304-763-4665 | |
Angela Douglas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 479 Flat Top Rd, Shady Spring, WV 25918 Phone: 304-763-4665 |