# MICHAEL J HEDMOND DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013130251
- **Authorized official:** MICHAEL HEDMOND DDS (SOLE MEMBER)
- **Authorized official phone:** (304) 723-1230

## Contact information

- **Practice address:** 332 PENCO RD, WEIRTON, WV 26062-3813
- **Practice address phone:** (304) 723-1230
- **Mailing address:** 332 PENCO RD, WEIRTON, WV 26062-3813
- **Mailing address phone:** (304) 723-1230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2713 | WV | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 06/18/2008