Organization
FREDERICK H SAMMONS DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK HENRY SAMMONS JR. DDS MS (PRESIDENT)
(304) 522-3512
Entity
Organization
Contact information
Practice address
1040 20TH ST, HUNTINGTON, WV 25703
(304) 522-3512
(304) 522-6233
Mailing address
1040 20TH STREET, HUNTINGTON, WV 25703
(304) 522-3512
(304) 522-6233
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810022161
—
WV
Enumeration date
11/15/2006
Last updated
08/25/2015
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