Mt State Oral & Maxillofacial Surgeons
LBN: Drs. Krajekian,Brock,Henderson & Diprisco Inc
Mt State Oral & Maxillofacial Surgeons is an health care organization with primary practice located at 1215 Virginia St E , Charleston WV 25301. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Drs. Krajekian,Brock,Henderson & Diprisco Inc can be contacted via phone (304) 345-1092, or through Coyner, Lesley Marie via phone (304) 720-7819.
Contact Information
Primary practice address
1215 Virginia St E
Charleston WV 25301
Phone: (304) 345-1092
Fax: (304) 345-5080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1346201183 |
|---|---|
| LBN Legal business name | Drs. Krajekian,Brock,Henderson & Diprisco Inc |
| DBA Doing business as | Mt State Oral & Maxillofacial Surgeons |
| Authorized official | Coyner, Lesley Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Dec 3rd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346201183 | NPPES |
| West Virginia | Other | 000817140 | MT. STATE BCBS |
| West Virginia | MEDICAID | 4500012000 | MT. STATE BCBS |
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