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NPI Code Detail

MEDICARE: J A ROY DDS

MEDICARE: J A ROY 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
11223G0001XGeneral Practice DentistryD2577WV

General Provider Information

NPI Number : 1447664818
Entity Type Code : Organization
Provider Name (Legal Business Name) : J A ROY DDS
Provider Business Mailing Address
First Line : PO BOX 408
Second Line :
City : WEST HAMLIN
State : WV
Zip : 25571
Country : US
Telephone Number : 304-824-7704
Fax Number : 304-824-7705
Provider Business Practice Location Address
First Line : 29 LINCOLN PLAZA
Second Line :
City : WEST HAMLIN
State : WV
Zip : 25571
Country : US
Telephone Number : 304-824-7704
Fax Number : 304-824-7705
Authorized Official
Title or Position : OWNER
Name : J A ROY
Credential : DDS
Telephone Number : 304-824-7704
Provider Enumeration Date : 06/13/2014
Last Update Date : 08/06/2014

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Directions to “J A ROY DDS ” Practice Location

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