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NPI Code Detail

MEDICARE: DR. CATHERINE ANNE RANSOM DDS

MEDICARE:  DR. CATHERINE ANNE RANSOM  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist4455WV

General Provider Information

NPI Number : 1053938498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE ANNE RANSOM DDS
Provider Business Mailing Address
First Line : 255 PALISADES DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-9009
Country : US
Telephone Number : 304-575-1826
Fax Number :
Provider Business Practice Location Address
First Line : 250 EMILY DR
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-5500
Country : US
Telephone Number : 304-398-3067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 07/01/2020

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Directions to “ DR. CATHERINE ANNE RANSOM DDS” Practice Location

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