JOHN W BYERS DDS PLLC NPI 1215458864

NPI Information

  • NPI: 1215458864
  • Provider Name: JOHN W BYERS, DDS, PLLC
  • Classification: Advanced Practice Dental Therapist - 125K00000X
  • Entity Type: Organization
  • Address: 122 YATES AVE
    GRAFTON, WV
    ZIP 26354
  • Phone: (304) 265-2438

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NPI Details

JOHN W BYERS, DDS, PLLC is an advanced practice dental therapist in Grafton, WV. The provider is an Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. JOHN W BYERS, DDS, PLLC NPI is 1215458864. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

122 YATES AVE
GRAFTON, WV
ZIP 26354
Phone: (304) 265-2438
Fax: (304) 265-1545

The provider's authorized official is John William Byers .
The authorized official title is Owner and has the following contact phone number (304) 265-2438.

The enumeration date for this NPI number is 7/5/2017 and was last updated on 7/5/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1125K00000XAdvanced Practice Dental Therapist12507WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10136411000MEDICAIDWEST VIRGINIA

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: 11/21/2025

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