MEDICARE: DOLAN & KALASKEY LTD

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	2275	WV
2	122300000X	Dentist	3209	WV
3	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	60	WV
4	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	101	WV

General Provider Information

NPI Number	:	1780893909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOLAN & KALASKEY LTD

Provider Business Mailing Address
First Line	:	1217 VIRGINIA ST E
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25301
Country	:	US
Telephone Number	:	304-345-4960
Fax Number	:	304-345-4969

Provider Business Practice Location Address
First Line	:	1217 VIRGINIA ST E
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25301
Country	:	US
Telephone Number	:	304-345-4960
Fax Number	:	304-345-4969

Authorized Official
Title or Position	:	PRESIDENT TREASURER
Name	:	KENNETH H DOLAN
Credential	:	DMD
Telephone Number	:	304-345-4960

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	09/11/2025

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Directions to “DOLAN & KALASKEY LTD ” Practice Location

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