Organization
ROBERT E BRICKER, DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E BRICKER DDS (DENTIST)
(304) 727-2294
Entity
Organization
Contact information
Practice address
512 C ST, SAINT ALBANS, WV 25177-2720
(304) 727-2294
(304) 727-4928
Mailing address
514 C ST, SAINT ALBANS, WV 25177-2720
(304) 727-2294
(304) 727-4928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1443
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134783000
—
WV
Enumeration date
03/28/2007
Last updated
09/20/2007
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