# ROBERT E BRICKER, DDS, LTD

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

## Provider details

- **NPI number:** 1619096930
- **Authorized official:** ROBERT E BRICKER DDS (DENTIST)
- **Authorized official phone:** (304) 727-2294

## Contact information

- **Practice address:** 512 C ST, SAINT ALBANS, WV 25177-2720
- **Practice address phone:** (304) 727-2294
- **Practice address fax:** (304) 727-4928
- **Mailing address:** 514 C ST, SAINT ALBANS, WV 25177-2720
- **Mailing address phone:** (304) 727-2294
- **Mailing address fax:** (304) 727-4928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1443 | WV | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 09/20/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0134783000 | — | WV |