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Contact Information

BERKELEY SPRINGS DENTISTRY
1911 VALLEY RD
BERKELEY SPRINGS, WV25411-4815
 Phone: 304-258-7800
 Fax: 304-258-1260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BERKELEY SPRINGS DENTISTRY

NPI Number 1295266948
LBN Legal business name BERKELEY SPRINGS DENTISTRY
Authorized official MAGIC MILLER - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/24/2017
Last updated 03/24/2017 - About 9 years ago
Identifiers
WV License # 3527
WV Medicaid 4003051000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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