Mt State Oral & Facial Surgery

LBN: Drs Krajekian,Brock,Henderson & Diprisco Inc
Mt State Oral & Facial Surgery is an health care organization with primary practice located at 4307 Maccorkle Ave Se , Charleston WV 25304-2500. 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) 345-1092.

Contact Information

Primary practice address
4307 Maccorkle Ave Se Charleston WV 25304-2500
Phone: (304) 345-1092
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coyner, Lesley Marie
Phone: (304) 345-1092

Health care specialties

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

Profile Details

NPI number 1447711858
LBN Legal business name Drs Krajekian,Brock,Henderson & Diprisco Inc
DBA Doing business as Mt State Oral & Facial Surgery
Authorized official Coyner, Lesley Marie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2019
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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