# WESLEY A. PATE, D.D.S. PLLC

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

## Provider details

- **NPI number:** 1548324858
- **Authorized official:** DR. WESLEY A PATE D.D.S. (MANAGING MEMBER)
- **Authorized official phone:** (304) 723-1514

## Contact information

- **Practice address:** 382 PENCO RD, WEIRTON, WV 26062-3813
- **Practice address phone:** (304) 723-1514
- **Mailing address:** 382 PENCO RD, WEIRTON, WV 26062-3813
- **Mailing address phone:** (304) 723-1514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2635 | WV | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 09/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0136818000 | — | WV |