Individual
DR. MAE A. HYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MD
Contact information
Practice address
415 MORRIS ST, SUITE 209, CHARLESTON, WV 25301-1842
(304) 388-3290
(304) 388-3186
Mailing address
830 PENNSYLVANIA AVE 302, CHARLESTON, WV 25302-3390
(304) 388-2950
(304) 388-2951
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4188
WV
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
26631
WV
Other
Enumeration date
07/10/2008
Last updated
12/21/2015
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