MEDICARE: JENNIFER M. STRIMER DDS, PLLC

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
1	122300000X	Dentist	WV 3857	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518217397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNIFER M. STRIMER DDS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 573
Second Line	:
City	:	SAINT MARYS
State	:	WV
Zip	:	26170-0573
Country	:	US
Telephone Number	:	304-684-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 LAFAYETTE ST
Second Line	:	SUITE 203
City	:	SAINT MARYS
State	:	WV
Zip	:	26170-1059
Country	:	US
Telephone Number	:	304-684-7200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JENNIFER MARIE STRIMER
Credential	:	DDS
Telephone Number	:	304-684-7200

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	09/19/2012

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