# JEFFREY G. MINCHAU, DDS, MS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parkersburg Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871085787
- **Authorized official:** DR. JEFFREY G. MINCHAU D.D.S., M.S. (OWNER/DENTIST)
- **Authorized official phone:** (304) 594-1670

## Contact information

- **Practice address:** 2601 DUDLEY AVENUE, BLDG. 1, PARKERSBURG, WV 26101
- **Practice address phone:** (304) 485-4600
- **Practice address fax:** (304) 485-4618
- **Mailing address:** 9000 COOMBS FARM DR., STE. 304, MORGANTOWN, WV 26508
- **Mailing address phone:** (304) 594-1670
- **Mailing address fax:** (304) 594-1671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 2805 | WV | Yes |
| 1223E0200X | Endodontics | 3779 | WV | — |

## Other

- **Enumeration date:** 06/06/2018
- **Last updated:** 06/06/2018