# DOUGLAS A FLORENCE DDS PLLC

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

## Provider details

- **NPI number:** 1093023798
- **Authorized official:** DR. DOUGLAS ANDREW FLORENCE DDS (OWNER)
- **Authorized official phone:** (304) 422-4455

## Contact information

- **Practice address:** 417 GRAND PARK DR, SUITES 109, PARKERSBURG, WV 26105-4049
- **Practice address phone:** (304) 422-4455
- **Mailing address:** 417 GRAND PARK DR, SUITES 109, PARKERSBURG, WV 26105-4049
- **Mailing address phone:** (304) 422-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3450 | WV | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 06/05/2014