Individual
MISHA DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4540 US ROUTE 60, HUNTINGTON, WV 25705-1936
(045) 257-1113
(304) 736-1589
Mailing address
2828 1ST AVE STE 204, HUNTINGTON, WV 25702-1236
(304) 535-7111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01042
WV
363A00000X
Physician Assistant
Primary
1042
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001807955
BLUE CROSS BLUE SHIELD
WV
01
—
3001166
WORKERS COMPENSATION
WV
Enumeration date
05/22/2006
Last updated
05/25/2023
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