Individual
DR. MATTHEW PATRICK MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
460 ROBERT C BYRD DR, SOPHIA, WV 25921
(304) 683-3274
(304) 683-3885
Mailing address
PO BOX 300, SOPHIA, WV 25921-0300
(304) 683-3274
(304) 683-3885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV3680
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
NONE
—
Enumeration date
09/26/2007
Last updated
09/26/2007
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