# MOUNTAINEER DENTAL CO.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountaineer Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306490552
- **Authorized official:** DR. JONATHAN PYLE DDS (OWNER)
- **Authorized official phone:** (304) 457-0590

## Contact information

- **Practice address:** 6 COLUMBIA ST, PHILIPPI, WV 26416-1620
- **Practice address phone:** (304) 457-0590
- **Practice address fax:** (304) 457-0952
- **Mailing address:** PO BOX 960, PHILIPPI, WV 26416-0960
- **Mailing address phone:** (304) 457-0590
- **Mailing address fax:** (304) 457-0592

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2019
- **Last updated:** 07/26/2019