Organization
DAVID MCCORMACK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALAN MCCORMACK DDS (OWNER DDS)
(304) 255-2898
Entity
Organization
Contact information
Practice address
701 RITTER DR, BEAVER, WV 25813
(304) 255-2898
(304) 255-9487
Mailing address
PO BOX 1430, BEAVER, WV 25813
(304) 255-2898
(304) 255-9487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WV
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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