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Organization
PATRICK JARRELL
Active
Organization
PATRICK JARRELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK D JARRELL DDS (PRESIDENT)
(304) 574-2833
Entity
Organization
Contact information
Practice address
213 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-2833
(304) 574-2489
Mailing address
213 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-2833
(304) 574-2489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3575
WV
1223G0001X
General Practice Dentistry
3932
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233275554
—
WV
Enumeration date
12/10/2014
Last updated
12/10/2014
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