# MORGANTOWN DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meridian Dental Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992297733
- **Authorized official:** JANET ANTONINI (CREDENTIALING)
- **Authorized official phone:** (304) 765-5019

## Contact information

- **Practice address:** 9000 COOMBS FARM DR, STE 304, MORGANTOWN, WV 26508
- **Practice address phone:** (304) 594-1670
- **Practice address fax:** (304) 594-1671
- **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 | 3456 | WV | Yes |
| 1223E0200X | Endodontics | 3682 | WV | — |
| 1223E0200X | Endodontics | 3815 | WV | — |
| 1223E0200X | Endodontics | 4092 | WV | — |

## Other

- **Enumeration date:** 06/06/2018
- **Last updated:** 10/26/2023