Mt State Oral & Maxillofacial Surge

LBN: Drs. Krajekian,Brock,Henderson & Diprisco Inc
Mt State Oral & Maxillofacial Surge is an health care organization with primary practice located at 417 Grand Park Dr Suite 103, Parkersburg WV 26105. 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) 699-5010, or through Coyner, Lesley Marie via phone (304) 720-7819.

Contact Information

Primary practice address
417 Grand Park Dr Suite 103 Parkersburg WV 26105
Phone: (304) 699-5010
Fax: (304) 553-7268
Website:
Map and Directions
Authorized official contact:
Name: Coyner, Lesley Marie
Phone: (304) 720-7819

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X West Virginia

Profile Details

NPI number 1356772677
LBN Legal business name Drs. Krajekian,Brock,Henderson & Diprisco Inc
DBA Doing business as Mt State Oral & Maxillofacial Surge
Authorized official Coyner, Lesley Marie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2013
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.

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