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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
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