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DRS KRAJEKIANBROCKHENDERSON & DIPRISCO INC NPI 1235546813


NPI Information

NPI: 1235546813
Provider Name: DRS KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 51D2088630

Address:
150 BROOKSHIRE LN
BECKLEY, WV
ZIP 25801
Phone: (304) 345-1092
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DRS KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC is an oral and maxillofacial surgery dentist in Beckley, WV. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DRS KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC NPI is 1235546813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 BROOKSHIRE LN
BECKLEY, WV
ZIP 25801
Phone: (304) 345-1092
Fax: (304) 345-5080

The provider's authorized official is Lesley Marie Coyner .
The authorized official title is Credentialing and has the following contact phone number (304) 345-1092.

The CLIA number assigned to this NPI record is 51D2088630 - other - oral & maxillofacial surg with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2014 and was last updated on 12/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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