# JOHN G. HUBBARD, DDS, PLLC

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

## Provider details

- **NPI number:** 1336498104
- **Authorized official:** JOHN GABRIEL HUBBARD DDS (OWNER)
- **Authorized official phone:** (304) 587-4232

## Contact information

- **Practice address:** 63 CARR ST, CLAY, WV 25043-9402
- **Practice address phone:** (304) 587-4232
- **Practice address fax:** (304) 587-2092
- **Mailing address:** PO BOX 568, 63 CARR STREET, CLAY, WV 25043-0568
- **Mailing address phone:** (304) 587-4232
- **Mailing address fax:** (304) 587-2092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2012
- **Last updated:** 09/07/2012