Individual
JOHN G. HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 SPYROCK LOOP ROAD, LOOKOUT, WV 25868
(304) 587-4232
(304) 587-2092
Mailing address
P.O. BOX 337, SCARBRO, WV 25917-0337
(304) 574-2076
(304) 574-1068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3721
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005755
—
WV
Enumeration date
09/20/2006
Last updated
09/01/2010
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