Individual
DR. STEVE CHILDRESS II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
402 CARRIAGE DR, BECKLEY, WV 25801-2806
(304) 255-0439
Mailing address
402 CARRIAGE DR, BECKLEY, WV 25801-2806
(304) 255-0439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV3449
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4001074-000
—
WV
Enumeration date
06/05/2006
Last updated
07/08/2007
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