DRS. KRAJEKIAN,BROCK & HENDERSON INC (NPI# 1356772677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356772677 |
| Entity Type | Organization |
| Organization Name | DRS. KRAJEKIAN,BROCK & HENDERSON INC |
| Other Organization Name | MT STATE ORAL & MAXILLOFACIAL SURGE |
| Practice Address |
417 Grand Park Dr Suite 103 Parkersburg WV 26105 |
| Mailing Address |
200 Prestige Park Hurricane WV 25526 |
| Practice Telephone | 3046995010 |
| Practice Fax Number | 3045537268 |
| Mailing Telephone | 3043451092 |
| Mailing Fax Number | 3043455080 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | LESLEY MARIE COYNER (CREDENTIALING) |
| Authorized Official Telephone | 3047207819 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
WV | Dental Providers |
| Other Name | Type Code |
|---|---|
| Mt State Oral & Maxillofacial Surge | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364398 | Drs. Krajekian,brock & Henderson Inc | Dentist | 433 Carriage Dr, Beckley, WV 25801-2805 | 2020-01-06 |
| 1346201183 | Drs. Krajekian,brock & Henderson Inc | Dentist | 1215 Virginia St E, Charleston, WV 25301 | 2006-03-31 |
| Street Address |
417 GRAND PARK DR SUITE 103 |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295700649 | Integricare, Inc | Home Health | 417 Grand Park Dr, Suite 101, Parkersburg, WV 26105-4049 | 2006-02-21 |
| 1790164556 | Jessica Jo Taylor | Dentist | 417 Grand Park Dr, Suite 109, Parkersburg, WV 26105-4049 | 2015-05-27 |
| 1821365339 | First Choice Wv Pllc | Physical Therapist | 417 Grand Park Dr, Ste 103, Parkersburg, WV 26105-4049 | 2011-11-29 |
| 1952694077 | Philip R Mccombs | Physical Therapist | 417 Grand Park Dr, Suite 103, Parkersburg, WV 26105-4049 | 2011-05-23 |
| 1982993325 | The Biomechanics Institute | Family Medicine | 417 Grand Park Dr, Suite 103, Parkersburg, WV 26105-4049 | 2011-04-06 |
| 1093023798 | Douglas A Florence Dds Pllc | Dentist | 417 Grand Park Dr, Suites 109, Parkersburg, WV 26105-4049 | 2010-09-16 |
| 1417148263 | Integricare Inc | Hospice Care, Community Based | 417 Grand Park Dr, Suite 101, Parkersburg, WV 26105-4049 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| Find all providers in zip 26105 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780729251 | Babak D. Noorbakhsh | Dentist | 2801 Dudley Ave Ste C, Parkersburg, WV 26101-2105 | 2007-02-21 |
| 1174658850 | Drs B Noorbakhsh and T Dean Bobbitt Inc | Dentist | 2801 Dudley Ave, Suite C, Parkersburg, WV 26101-2105 | 2007-02-22 |
| 1861537805 | Tilden Dean Bobbitt | Dentist | 2801 Dudley Ave, Suite C, Parkersburg, WV 26101-2105 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| 1104359959 | Appalachian Oral Surgery Center | Dentist | 3433 University Ave, Suite 1, Morgantown, WV 26505-3052 | 2017-04-09 |
| 1023318201 | James G Bryant Dmd | Dentist | 5000 Hampton Ctr Ste 1, Morgantown, WV 26505-1709 | 2010-10-22 |
| 1053561779 | Drs Krajekian,brock & Henderson Inc | Dentist | 3135 16th Street Rd, Suite 20, Huntington, WV 25701 | 2008-09-30 |
| 1255544748 | Nahla Chaudhary | Dentist | 1007 Sushruta Dr, Martinsburg, WV 25401-8876 | 2007-05-08 |
| 1164646725 | William A. Myers II Dmd Ltd | Dentist | 1191 Pineview Dr Ste D, Morgantown, WV 26505-2778 | 2007-04-12 |
| 1659442309 | Edward Elias Howard | Dentist | 1321 Virginia St E, Charleston, WV 25301 | 2006-11-13 |
| 1376614024 | Richard Lee Howard | Dentist | 1321 Virginia St East, Charleston, WV 25301 | 2006-11-13 |
| 1356420186 | Peter James Pangilinan | Dentist | 700 W Pike St, Suite 100, Clarksburg, WV 26301-2696 | 2006-11-03 |
| 1265511091 | David A Lattanzi | Dentist | 700 West Pike Street, Suite 100, Clarksburg, WV 26301 | 2006-11-03 |
| Find all providers with the same taxonomy | ||||
| City | PARKERSBURG |
| Zip Code | 26105 |
Please comment or provide details below to improve the information on DRS. KRAJEKIAN,BROCK & HENDERSON INC.
| 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.