CHARLES E. SAMMONS DDS NPI 1417107889

NPI Information

  • NPI: 1417107889
  • Provider Name: CHARLES E. SAMMONS, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 180 MINGO AVENUE
    KERMIT, WV
    ZIP 25674
  • Phone: (304) 393-1030

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NPI Details

CHARLES E. SAMMONS, DDS is a general practice dentist in Kermit, WV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHARLES E. SAMMONS, DDS NPI is 1417107889. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 MINGO AVENUE
KERMIT, WV
ZIP 25674-248
Phone: (304) 393-1030
Fax: (304) 393-1026

The provider's authorized official is Charles E Sammons .
The authorized official title is Owner and has the following contact phone number (304) 393-1030.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 9/23/2008.

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
11223G0001XDentistGeneral Practice2668WEST 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
10136867000MEDICAIDWEST 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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