# KENNETH H. DOLAN II DDS PLLC

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

## Provider details

- **NPI number:** 1366870818
- **Authorized official:** LINDSEY DOLAN (OFFICE MANAGER)
- **Authorized official phone:** (304) 546-2024

## Contact information

- **Practice address:** 4303 MACCORKLE AVE SE, CHARLESTON, WV 25304-2503
- **Practice address phone:** (304) 925-3177
- **Practice address fax:** (304) 926-6867
- **Mailing address:** 4303 MACCORKLE AVE SE, CHARLESTON, WV 25304-2503
- **Mailing address phone:** (304) 925-3177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3780 | WV | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2013
- **Last updated:** 06/17/2021