Organization
ROY E DAY
Active
Other names
Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY E DAY DDS (PEDIATRIC DENTIST)
(304) 599-5000
Entity
Organization
Contact information
Practice address
3000 HAMPTON CTR, SUITE B, MORGANTOWN, WV 26505-1708
(304) 599-5000
(304) 599-6629
Mailing address
3000 HAMPTON CTR, SUITE B, MORGANTOWN, WV 26505-1708
(304) 599-5000
(304) 599-6629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3596
WV
1223P0221X
Pediatric Dentistry
Primary
2116
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012779000
—
WV
01
—
01525386
UNITED CONCORDIA GROUP
WV
Enumeration date
12/13/2006
Last updated
08/11/2008
Update your record
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