# HAIRSTON FAMILY DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1407397516
- **Authorized official:** DR. LEAH RAE HAIRSTON DDS (OWNER DENTIST)
- **Authorized official phone:** (304) 542-7860

## Contact information

- **Practice address:** 255 WASHINGTON ST, RAVENSWOOD, WV 26164-1874
- **Practice address phone:** (304) 273-5301
- **Mailing address:** 255 WASHINGTON ST, RAVENSWOOD, WV 26164-1874
- **Mailing address phone:** (304) 273-5301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | WV4152 | WV | Yes |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/09/2017