# WILLIAM F. QUEEN, DDS, PLLC

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

## Provider details

- **NPI number:** 1134387970
- **Authorized official:** STACY JEFFERSON (OFFICE MANAGER)
- **Authorized official phone:** (304) 263-6568

## Contact information

- **Practice address:** 902 N QUEEN ST, MARTINSBURG, WV 25404-3545
- **Practice address phone:** (304) 263-6568
- **Practice address fax:** (304) 267-7183
- **Mailing address:** 902 N QUEEN ST, MARTINSBURG, WV 25404-3545
- **Mailing address phone:** (304) 263-6568
- **Mailing address fax:** (304) 267-7183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 05/29/2008