# G WAYNE CHRISTIAN DDS PC

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

## Provider details

- **NPI number:** 1366596892
- **Authorized official:** DR. G WAYNE CHRISTIAN DDS (PRESIDENT)
- **Authorized official phone:** (304) 343-2799

## Contact information

- **Practice address:** 112 MORRIS ST, CHARLESTON, WV 25301
- **Practice address phone:** (304) 343-2799
- **Practice address fax:** (304) 345-5114
- **Mailing address:** 112 MORRIS ST, CHARLESTON, WV 25301
- **Mailing address phone:** (304) 343-2799
- **Mailing address fax:** (304) 345-5114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 1905 | WV | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/22/2020