DEWEY WILSON MANN JR. (NPI# 1578663589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578663589 |
| Entity Type | Individual |
| Full Name | DEWEY WILSON MANN JR. |
| Credential | DDS |
| Practice Address |
104 Goff Mtn Rd Cross Lanes WV 25313 |
| Practice Telephone | 3047766992 |
| Practice Fax Number | 3047766992 |
| Mailing Telephone | 3047766992 |
| Mailing Fax Number | 3047766992 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2369 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0135558000 | 05 |
| Street Address |
104 GOFF MTN RD |
| City | CROSS LANES |
| State | WV |
| Zip Code | 25313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869183 | Shante Hamrick | Technician | 5130 Waycross Drive, Cross Lanes, WV 25313 | 2019-09-11 |
| 1942755061 | John Brian Thomas | Pharmacist | 5450 Big Tyler Rd., Cross Lanes, WV 25313 | 2016-08-18 |
| 1902221310 | David Alan Haynes Jr. | Physical Therapist | 314 Goff Mountain Rd. (ste 13), Ste 13, Cross Lanes, WV 25313 | 2014-02-20 |
| 1073897344 | Rhonda M Knight | Physical Therapist | 314 Goff Mtn. Rd., Suite 13, Cross Lanes, WV 25313 | 2011-10-05 |
| 1083853683 | Mitri A. Ghareeb, Dds, PC | Dentist | 5480 Big Tyler Road, Suite 1, Cross Lanes, WV 25313 | 2009-02-05 |
| 1295944460 | John C. Taylor | Pharmacist | 5455f Big Tyler Rd., Cross Lanes, WV 25313 | 2007-05-22 |
| 1194890657 | Linda O Workman | Psychologist | 202 Glass Drive, Cross Lanes, WV 25313 | 2006-11-21 |
| 1306910104 | William Albert Reynolds IIi | Dentist | 5304 Koontz Dr, Cross Lanes, WV 25313 | 2006-11-20 |
| 1770676413 | Mark S. Calfee, Dc | Chiropractor | 5390 Big Tyler Rd, Cross Lanes, WV 25313 | 2006-10-02 |
| 1740388867 | Debra Lynn Parsons | Pediatrics | 314 Goff Mountain Road, Suite 16, Cross Lanes, WV 25313 | 2006-09-20 |
| Find all providers in zip 25313 | ||||
| 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 |
|---|---|---|---|---|
| 1962502831 | Stanley Warren Kaczkowski | Dentist | 5376 Big Tyler Rd, Cross Lanes, WV 25313-1059 | 2006-09-22 |
| 1033225131 | John Everett Starcher | Dentist | 5509 Big Tyler Road, Suite 2, Cross Lanes, WV 25313 | 2006-08-22 |
| 1730192568 | Robert K Hartman | Dentist | 814 Cross Lanes Dr, Cross Lanes, WV 25313-1334 | 2006-08-14 |
| 1669661609 | Ghareeb & Ghareeb Dds, PC | Dentist | 814 Cross Lanes Dr, Cross Lanes, WV 25313-1334 | 2007-10-16 |
| 1588746663 | Julie Ruth Hamilton | Dentist | 5411 Tiffany Dr, Cross Lanes, WV 25313-1033 | 2006-10-19 |
| 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 | CROSS LANES |
| Zip Code | 25313 |
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| 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.