DRS WILSON & MARTINO, PLLC (NPI# 1336232586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336232586 |
| Entity Type | Organization |
| Organization Name | DRS WILSON & MARTINO, PLLC |
| Other Organization Name | TLC DENTAL |
| Practice Address |
1830 Listravia Ave Morgantown WV 26505-6318 |
| Mailing Address |
516 Cost Ave Stonewood WV 26301-4811 |
| Practice Telephone | 3042924412 |
| Practice Fax Number | 3042252464 |
| 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 | 0204358000 | 01 |
| Other Name | Type Code |
|---|---|
| TLC Dental | Doing Business As Name - Organization |
| Street Address |
1830 LISTRAVIA AVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700140126 | David Frank Martino Jr. | Dentist | 1830 Listravia Ave, Morgantown, WV 26505-6318 | 2012-06-29 |
| 1952466237 | Traci Leigh Wilson Seese | Dentist | 1830 Listravia Ave, Morgantown, WV 26505-6318 | 2006-12-27 |
| 1750475612 | Stefan A Cho-polizzi | Dentist | 1830 Listravia Ave, Morgantown, WV 26505-6318 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| 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 |
|---|---|---|---|---|
| 1396361598 | Safa Alathari | Dentist | 1554 Mileground Rd Ste A, Morgantown, WV 26505-3749 | 2020-06-23 |
| 1467800417 | Cheat Lake Family Dentistry | Dentist | 230 Lakewood Ctr, Morgantown, WV 26508-4457 | 2016-06-01 |
| 1639502354 | Amanda Sue Knestrick | Dentist | 27 Clear Spring Dr, Morgantown, WV 26508-3202 | 2013-08-16 |
| 1154766582 | Donald Sauter | Dentist | West Virginia University School of Dentistry, Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9495 | 2013-04-29 |
| 1215224738 | Gabriel Martin Holley | Dentist | 998 Ashton Pl, Morgantown, WV 26508-6874 | 2011-07-05 |
| 1356503049 | Joseph Greg Wrobleski | Dentist | 1302 4 H Camp Rd, Morgantown, WV 26508-2455 | 2008-06-25 |
| 1932366473 | Rudainah Aloufan | Dentist | 1335 Stewartstown Rd Apt L1, Morgantown, WV 26505-2972 | 2008-05-21 |
| 1750555033 | Burt & Jackson Dmd Pllc Bluegrass Oral Health Center of Morgantown | Dentist | 304 West Ohio St., Morgantown, KY 42261 | 2008-04-17 |
| 1013193598 | Ralph M Shahan | Dentist | 196 Donna Ave, Morgantown, WV 26505-2884 | 2008-01-15 |
| 1528250198 | Carly Lynn Lemley | Dentist | 6260 Mid Atlantic Rd, Morgantown, WV 26508-4293 | 2007-08-16 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on DRS WILSON & MARTINO, 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.