Individual
DR. FREDERICK SAMMONS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1040 20TH ST, HUNTINGTON, WV 25703-2059
(304) 522-3512
(304) 522-6233
Mailing address
1040 20TH ST, HUNTINGTON, WV 25703-2059
(304) 522-3512
(304) 522-6233
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2332
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137863000
—
WV
Enumeration date
08/25/2015
Last updated
08/25/2015
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