R. BROOKS LEGG JR. NPI 1912088410

NPI Information

  • NPI: 1912088410
  • Provider Name: R. BROOKS LEGG JR.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: CLAY DENTAL CLINIC
  • Address: 63 CARR ST
    CLAY, WV
    ZIP 25043
  • Phone: (304) 587-4232

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NPI Details

R. BROOKS LEGG JR. is a general practice dentist in Clay, 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. R. BROOKS LEGG JR. NPI is 1912088410. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clay Dental Clinic.

The provider's business location address is:

63 CARR ST
CLAY, WV
ZIP 25043-000
Phone: (304) 587-4232
Fax: (304) 587-2092

The provider's authorized official is Russell Brooks Legg .
The authorized official title is Owner and has the following contact phone number (304) 587-4232.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 6/18/2008.

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 PracticeWV2123WEST 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
13810005754MEDICAIDWEST 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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