Healthcare Provider Details

I. General information

NPI: 1407607781
Provider Name (Legal Business Name): OLIVIA REED DARBY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 KANAWHA TER
SAINT ALBANS WV
25177-3187
US

IV. Provider business mailing address

2035 KANAWHA TER
SAINT ALBANS WV
25177-3187
US

V. Phone/Fax

Practice location:
  • Phone: 304-727-2222
  • Fax: 304-727-0277
Mailing address:
  • Phone: 304-727-2222
  • Fax: 304-727-0277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4702
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: