Charles Wylie in Glen Dale - Dentist

Charles Wylie - NPI 1275544280

Charles Wylie is a Dentist in Glen Dale, . Charles Wylie practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles Wylie is 1275544280. The last update date is 2007-07-09.

Charles Wylie's current location address is 1589 Wheeling Ave, Glen Dale, . You can contact this provider via phone number 3048452480 and fax number 3048459204. The mailing address for Charles Wylie is 1589 Wheeling Ave, Glen Dale, . To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Wylie
Address 1589 Wheeling Ave, Glen Dale,
Phone Number 3048452480
Fax Number 3048459204
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1275544280
Provider Enumeration Date 2006-08-11
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1589 Wheeling Ave
City Glen Dale
State (WV)
Post Code 260381731
Phone Number 3048452480
Fax Number 3048459204

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No WV2926
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
133399000 WV --

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FAQs about Charles Wylie

What is the unique 10-digit identifier code assigned to Charles Wylie by the Centers for Medicare & Medicaid Services?

The Charles Wylie has been issued the NPI (National Provider Identifier) 1275544280 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Charles Wylie is physically located?

The Charles Wylie is situated at the following address: 1589 Wheeling Ave, Glen Dale, WV 260381731.

What is the area of specialization for Charles Wylie, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Charles Wylie is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

When did Charles Wylie receive its 1275544280 assignment?

The Charles Wylie was assigned its 1275544280 on 2006-08-11, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Charles Wylie, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Charles Wylie, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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