# CHARLESTON DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1629499553
- **Authorized official:** DR. ERNEST NORMAN PENNINGTON D.D.S (DENTIST)
- **Authorized official phone:** (304) 344-0344

## Contact information

- **Practice address:** 111 BROOKS ST, CHARLESTON, WV 25301-2904
- **Practice address phone:** (304) 344-0344
- **Practice address fax:** (304) 344-0354
- **Mailing address:** 111 BROOKS ST, CHARLESTON, WV 25301-2904
- **Mailing address phone:** (304) 344-0344
- **Mailing address fax:** (304) 344-0354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2194 | WV | Yes |

## Other

- **Enumeration date:** 12/19/2013
- **Last updated:** 12/19/2013