Healthcare Provider Details
I. General information
NPI: 1871409862
Provider Name (Legal Business Name): KINES FAMILY DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
340 WILLIAM AVE, STE 2
DAVIS WV
26260
US
IV. Provider business mailing address
PO BOX 217
DAVIS WV
26260-0217
US
V. Phone/Fax
- Phone: 681-435-9050
- Fax:
- Phone: 681-435-9050
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DON
W
KINES
Title or Position: OWNER
Credential: DDS
Phone: 304-290-9026