DRS WILSON AND MARTINO OF TEAYS VALLEY, PLLC (NPI# 1174616304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174616304 |
| Entity Type | Organization |
| Organization Name | DRS WILSON AND MARTINO OF TEAYS VALLEY, PLLC |
| Practice Address |
4113 Teays Valley Rd Scott Depot WV 25560-9740 |
| Mailing Address |
516 Cost Ave Stonewood WV 26301-4811 |
| Practice Telephone | 3042017645 |
| Practice Fax Number | 3047573840 |
| Mailing Telephone | 3046245250 |
| Mailing Fax Number | 3046245251 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT V MARTINO (CEO) |
| Authorized Official Telephone | 3046245250 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3070 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV DENTAL MEDICAL CARD | 3810001573 | 01 |
| Street Address |
4113 TEAYS VALLEY RD |
| City | SCOTT DEPOT |
| State | WV |
| Zip Code | 25560-9740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297248 | Nutrisense Nutrition Consulting, LLC | Dietitian, Registered | 18 Meadow Lane, Scott Depot, WV 25560 | 2018-03-01 |
| 1508224916 | Stephanie Leigh Bowman | Nurse Practitioner | 95 Heidi Way, Scott Depot, WV 25560 | 2016-02-01 |
| 1457798266 | Jodi H Biller | Nurse Practitioner | 300 Corporate Center Dr., Scott Depot, WV 25560 | 2013-06-03 |
| 1730427469 | Teays Valley Volunteer Fire Department, Inc | Ambulance | 105 Popular Fork Rd, Scott Depot, WV 25560 | 2013-01-31 |
| 1073862991 | Scott A Cyrus | Pharmacist | 201 Teays Ctr Kroger 02900784, Scott Depot, WV 25560 | 2012-09-06 |
| 1578625596 | Harold Alan Morris | Dentist | Carls Lane, Scott Depot, WV 25560 | 2006-12-15 |
| 1457427429 | Martha Cook Carter | Registered Nurse | 301 6 Great Teays Blvd, Scott Depot, WV 25560 | 2006-11-28 |
| 1649360827 | Jan Byrnside Frame | Registered Nurse | 21 Thoroughbred Rd, Scott Depot, WV 25560 | 2006-10-16 |
| 1639271836 | Laberta S Salamacha | Counselor | 4031 Teays Valley Road, Scott Depot, WV 25560 | 2006-09-01 |
| 1588683767 | Kim D Lopes | Advanced Practice Midwife | 3016 Great Teays Blvd, Scott Depot, WV 25560 | 2006-07-19 |
| Find all providers in zip 25560 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578625596 | Harold Alan Morris | Dentist | Carls Lane, Scott Depot, WV 25560 | 2006-12-15 |
| 1932535051 | Ghareeb,dds, PC | Dentist | 109 Poplar Fork Rd, Scott Depot, WV 25560-9766 | 2013-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774401 | Triadelphia of West Virginia Dental Pllc | Dentist | 219 Cabela Dr, Triadelphia, WV 26059-1022 | 2020-09-09 |
| 1396361598 | Safa Alathari | Dentist | 1554 Mileground Rd Ste A, Morgantown, WV 26505-3749 | 2020-06-23 |
| 1063038677 | Angela Nicole Stowers | Dentist | 2601 1st Ave, Nitro, WV 25143-1713 | 2020-06-19 |
| 1700400231 | Tyler Reed Myers | Dentist | 45 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2020-06-01 |
| 1245871326 | Mason Bishop | Dentist | 402 Red Oak St, Summersville, WV 26651-1000 | 2019-09-30 |
| 1710547039 | Christopher Stephen Mallow | Dentist | 9030 Petersburg Pike, Upper Tract, WV 26866-8014 | 2019-06-18 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1235797804 | Brennan Matthew Wood | Dentist | 142 Holiday Ln, Lewisburg, WV 24901-9315 | 2019-05-30 |
| 1568923837 | Yulia Meadows | Dentist | 8 Middletown Rd, Fairmont, WV 26554-8102 | 2019-03-28 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
| City | SCOTT DEPOT |
| Zip Code | 25560 |
Please comment or provide details below to improve the information on DRS WILSON AND MARTINO OF TEAYS VALLEY, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.