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Contact Information

LON P SPAIN, DDS
408 ALEXANDER STREET
CEDAR GROVE, WV25039
 Phone: 304-595-1770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LON P SPAIN · (Male)

NPI Number 1891765822
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/24/2006
Last updated 09/17/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 3400
  • KY Medicaid 7100174300
  • OH Medicaid 2036862
  • WV Medicaid 7805006000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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