Individual
DR. CHRISTEN SIMPSON RAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MBA
Contact information
Practice address
400 ALLEN DRIVE, SUITE 300, CHARLESTON, WV 25302
(304) 342-6162
(304) 342-8309
Mailing address
400 ALLEN DRIVE, SUITE 300, CHARLESTON, WV 25302
(304) 342-6162
(304) 342-8309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3711
WV
1223G0001X
General Practice Dentistry
WV3711
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001844461
BLUE CROSS & BLUE SHIELD
WV
01
—
550538620
EMPLOYER IDENTIFICATION #
WV
Enumeration date
10/23/2006
Last updated
10/30/2017
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