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WEST VIRGINIA UNIVERSITY NPI 1801283874


NPI Information

NPI: 1801283874
Provider Name: WEST VIRGINIA UNIVERSITY
Classification: Dentist - 1223P0106X
Entity Type: Organization

Specialization: Oral and Maxillofacial Pathology

CLIA Number: 51D2190393

Address:
1 MEDICAL CENTER DRIVE
ORAL SURGERY DEPARTMENT
MORGANTOWN, WV
ZIP 26506
Phone: (304) 293-1127
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WEST VIRGINIA UNIVERSITY is an oral and maxillofacial pathology dentist in Morgantown, WV. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. WEST VIRGINIA UNIVERSITY NPI is 1801283874. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 MEDICAL CENTER DRIVE
ORAL SURGERY DEPARTMENT
MORGANTOWN, WV
ZIP 26506
Phone: (304) 293-1127
Fax: (304) 293-3674

The provider's authorized official is Ashley Nicole Clark .
The authorized official title is Assistant Professor and has the following contact phone number (304) 293-1127.

The CLIA number assigned to this NPI record is 51D2190393 - other - academic healthcare with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2015 and was last updated on 4/17/2015.


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
11223P0106XDentistOral and Maxillofacial Pathology4076WEST VIRGINIAYes

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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