BRUCETON DENTAL PLLC (NPI# 1215385935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215385935 |
| Entity Type | Organization |
| Organization Name | BRUCETON DENTAL PLLC |
| Practice Address |
128 Green Street Bruceton Mills WV 26525 |
| Mailing Address |
Po Box 147 Bruceton Mills WV 26525-0147 |
| Practice Telephone | 3043798101 |
| Practice Fax Number | 3043798102 |
| Mailing Telephone | 3043798101 |
| Mailing Fax Number | 3043798102 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | SCOTT REO OKUBO (DDS/OWNER) |
| Authorized Official Telephone | 3043798101 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
WV2976 | WV | Ambulatory Health Care Facilities |
| Street Address |
128 GREEN STREET |
| City | BRUCETON MILLS |
| State | WV |
| Zip Code | 26525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813258 | Twyla Lee Wolfe | Technician | 208 Compressor Station Rd, Bruceton Mills, WV 26525 | 2020-08-26 |
| 1124631510 | Beverly Louise Wolfe | Technician | 220 Compressor Station Rd, Bruceton Mills, WV 26525 | 2020-08-26 |
| 1346721636 | Michele L Wotring | Physical Therapist | 37 Morgantown Street, Bruceton Mills, WV 26525 | 2018-08-24 |
| 1871083303 | Heather Marie Hartsell | Nurse Practitioner | 198 Morgantown St Ste 2, Bruceton Mills, WV 26525 | 2018-05-10 |
| 1841793890 | Amy Armel | Family Medicine | 1640 Sky View Drive, Bruceton Mills, WV 26525 | 2018-03-16 |
| 1922477637 | Omar Attarabeen | Pharmacist | 198 Morgantown Street Suite 1, Bruceton Mills, WV 26525 | 2015-09-23 |
| 1902223340 | Bruceton Pharmacy | Pharmacy | 198 Morgantown St, Suite 1, Bruceton Mills, WV 26525 | 2014-03-24 |
| 1902242290 | Bruceton Wellness Center Pllc | Chiropractor | 207 Morgantown St. Suite 2, Bruceton Mills, WV 26525 | 2013-05-14 |
| 1811261225 | Bruceton Medical Center | Clinic/Center | 198 Morgantown Street, Suite B, Bruceton Mills, WV 26525 | 2012-03-02 |
| 1346510906 | Steven Christopher Lint | Chiropractor | 207 Morgantown St., Suite 2, Bruceton Mills, WV 26525 | 2012-01-12 |
| Find all providers in zip 26525 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689872 | Almost Heaven Sleep Solutions Pllc | Clinic/Center | 1002 Neville St, Beckley, WV 25801-4324 | 2020-08-12 |
| 1063053437 | Hedgesville Dental Arts Pllc | Clinic/Center | 101 N. Mary St., Hedgesville, WV 25427 | 2019-10-07 |
| 1174046122 | Rominger Dental | Clinic/Center | 20 Shaner Dr Ste 108, Bridgeport, WV 26330-2506 | 2017-07-21 |
| 1093183774 | Mineral County Board of Health | Clinic/Center | Rr 3 Box 3045, Keyser, WV 26726-9401 | 2015-09-11 |
| 1356725428 | Randolph Evans Family Dentistry | Clinic/Center | 22 Sierra Dr, Martinsburg, WV 25403-1133 | 2015-07-17 |
| 1174920110 | Christy Kenna Fox, Dds, Inc. | Clinic/Center | 606 Stokes Dr, Suite B, Hinton, WV 25951-2554 | 2014-11-19 |
| 1841596277 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 2508 Straight Fork Rd, Alkol, WV 25501 | 2011-02-02 |
| 1265603799 | Tony K. Virgin | Clinic/Center | 420 11th St, Huntington, WV 25701 | 2008-03-12 |
| 1295915866 | Charles E Wright Dds | Clinic/Center | 1005b Bridge Rd, Charleston, WV 25314-1305 | 2007-11-12 |
| 1235258757 | Kevin C. Lucky Dds Pllc | Clinic/Center | 1110 Johnstown Road, Beckley, WV 25801 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
| City | BRUCETON MILLS |
| Zip Code | 26525 |
Please comment or provide details below to improve the information on BRUCETON DENTAL PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.