Raymond, Dominic John
Raymond, Dominic John is an individual health care provider with primary practice located at 56 Mileground Rd Suite A, Morgantown WV 26505-3803. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Raymond, Dominic John can be contacted via phone (304) 296-2273.Contact Information
Primary practice address
56 Mileground Rd Suite A
Morgantown WV 26505-3803
Phone: (304) 296-2273
Fax: (304) 296-0825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2703 | West Virginia |
| Dental Providers / General Practice | 1223G0001X | DS023559L | Pennsylvania |
| Dental Providers / General Practice | 1223G0001X | DN 10380 | Florida |
Profile Details
| NPI number | 1730270257 |
|---|---|
| LBN Legal business name | Raymond, Dominic John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | May 5th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730270257 | NPPES |
| West Virginia | MEDICAID | 0133055000 |
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