DR. LAUREN PECTYO NAMSUPAK (NPI# 1578728457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578728457 |
| Entity Type | Individual |
| Full Name | DR. LAUREN PECTYO NAMSUPAK |
| Credential | DDS |
| Practice Address |
3412 University Ave Morgantown WV 26505-7220 |
| Practice Telephone | 3043813331 |
| Mailing Telephone | 3043813331 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2016-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
3832 | WV | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
DS038864 | PA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
3832 | WV | Dental Providers |
| Street Address |
3412 UNIVERSITY AVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-7220 |
| 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 | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1174721393 | Kent Alexander Mcbride | Dentist | 2401 Cranberry Sq, Morgantown, WV 26508-9209 | 2007-07-10 |
| 1689895815 | Jeffrey Gary Minchau | Dentist | 2401 Cranberry Square, Morgantown, WV 26508 | 2007-05-02 |
| 1306929856 | Charles Russell Jackson | Dentist | 1 Med Center Dirve, Morgantown, WV 26506 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085787 | Jeffrey G. Minchau, Dds, Ms, Inc. | Dentist | 2601 Dudley Avenue, Bldg. 1, Parkersburg, WV 26101 | 2018-06-06 |
| 1164710562 | Ernest Stephen Fragale | Dentist | 405 Capitol St Ste 914, Charleston, WV 25301-1744 | 2011-07-19 |
| 1073780284 | Michael Blaine Loftis | Dentist | 225 College Pkwy, Suite 103, Parkersburg, WV 26104-7655 | 2008-05-15 |
| 1104091370 | Johnathon Grant Winkler | Dentist | 3873 Robert C Byrd Dr, Beckley, WV 25801-2964 | 2008-04-28 |
| 1568648905 | Jamie Michele Day | Dentist | 106 Cambridge Pl, Bridgeport, WV 26330-2812 | 2008-01-16 |
| 1083787097 | Lori L Gochenour | Dentist | 113a Tavern Road, Martinsburg, WV 25401 | 2006-11-16 |
| 1619049475 | Lora Beth Ford | Dentist | 112 Morris St, Charleston, WV 25301-2911 | 2006-11-15 |
| 1306918776 | James W Vargo | Dentist | 92 Brookshire Ln, Beckley, WV 25801-6765 | 2006-11-14 |
| 1215038419 | Christopher Lindsay Hugh | Dentist | 3566 Teays Valley Rd, Hurricane, WV 25526-9090 | 2006-09-26 |
| 1033211081 | Larry Keith Hildebrand | Dentist | 1242 Washington Ave, Huntington, WV 25704 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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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.