# CHARLES TOWN FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1972315679
- **Authorized official:** AUSTIN WESTOVER DDS (OWNER / DENTIST)
- **Authorized official phone:** (804) 405-9873

## Contact information

- **Practice address:** 860 SOMERSET BLVD, CHARLES TOWN, WV 25414-5625
- **Practice address phone:** (681) 777-6459
- **Mailing address:** 860 SOMERSET BLVD, CHARLES TOWN, WV 25414-5625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2025
- **Last updated:** 01/21/2025