Organization
THEODORE R. MOTES, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE R MOTES DDS (OWNER)
(304) 372-4011
Entity
Organization
Contact information
Practice address
621 CHURCH ST N, RIPLEY, WV 25271-8444
(304) 372-4011
Mailing address
621 CHURCH ST N, PO BOX 767, RIPLEY, WV 25271-8444
(304) 372-4011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2681
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136906000
—
WV
Enumeration date
02/16/2016
Last updated
02/16/2016
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