Organization
MOUNTAINEER DENTAL CO.
Active
Other names
Mountaineer Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PYLE DDS (OWNER)
(304) 457-0590
Entity
Organization
Contact information
Practice address
6 COLUMBIA ST, PHILIPPI, WV 26416-1620
(304) 457-0590
(304) 457-0952
Mailing address
PO BOX 960, PHILIPPI, WV 26416-0960
(304) 457-0590
(304) 457-0592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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