Kelley Elaine Heal-Ortiz in Clarksburg - General Practice

Kelley Elaine Heal-Ortiz - NPI 1619917135

Kelley Elaine Heal-Ortiz is a General Practice in Clarksburg, . Kelley Elaine Heal-Ortiz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelley Elaine Heal-Ortiz is 1619917135. The last update date is 2007-07-09.

Kelley Elaine Heal-Ortiz's current location address is 432 W Main St, Clarksburg, . You can contact this provider via phone number 3046229837 and fax number 3046231754. The mailing address for Kelley Elaine Heal-Ortiz is 432 W Main St, Clarksburg, . To know further, please read the information below!

Provider Profile Detail

Provider Name Kelley Elaine Heal-Ortiz
Address 432 W Main St, Clarksburg,
Phone Number 3046229837
Fax Number 3046231754
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1619917135
Provider Enumeration Date 2006-06-07
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 432 W Main St
City Clarksburg
State (WV)
Post Code 263012817
Phone Number 3046229837
Fax Number 3046231754

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No WV3030
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
133029000 WV --
781440 WV UNITED CONCORDIA

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FAQs about Kelley Elaine Heal-Ortiz

What is the Kelley Elaine Heal-Ortiz's 1619917135?

The Kelley Elaine Heal-Ortiz's NPI (National Provider Identifier) Number is 1619917135. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kelley Elaine Heal-Ortiz?

The Kelley Elaine Heal-Ortiz is situated at 432 W Main St, in the city of Clarksburg, state of WV, with the zip code 263012817.

What is Kelley Elaine Heal-Ortiz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelley Elaine Heal-Ortiz's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

When was the Kelley Elaine Heal-Ortiz's 1619917135 issued?

The Kelley Elaine Heal-Ortiz's 1619917135 was issued on 2006-06-07.

As of what date was the information pertaining to Kelley Elaine Heal-Ortiz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

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

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