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Contact Information

JERRY MOUNTS DDS, INC
MATE STREET
MATEWAN, WV25678
 Phone: 304-426-4161
 Fax: 304-426-4162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JERRY MOUNTS DDS, INC

NPI # 1285728188
LBN Legal business name JERRY MOUNTS DDS, INC
Authorized official JERRY MOUNTS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WV License # 2741
WV Medicaid 0137275000
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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