Individual
ANDREA M. LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
700 KEVIN DR, NEW MARTINSVILLE, WV 26155-2757
(304) 455-2030
Mailing address
212 WETZEL ST, NEW MARTINSVILLE, WV 26155-1506
(304) 673-7233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4271
WV
1223G0001X
General Practice Dentistry
Primary
4271
WV
Other
Enumeration date
06/09/2017
Last updated
06/20/2020
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