FAMILY DENTISTRY OF WESTON, PLLC (NPI# 1629420401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629420401 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTISTRY OF WESTON, PLLC |
| Practice Address |
19 Garton Plz Weston WV 26452-2128 |
| Practice Telephone | 3042696151 |
| Mailing Telephone | 3042696151 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | DR. KAYLA HUDIMAC (MEMBER) |
| Authorized Official Telephone | 3043121652 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4212 | WV | Dental Providers |
| Street Address |
19 GARTON PLZ |
| City | WESTON |
| State | WV |
| Zip Code | 26452-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861645830 | James Robert Bennett | Dentist | 19 Garton Plz, Weston, WV 26452-2128 | 2008-11-03 |
| 1912356734 | Kayla Louann Hudimac | Dentist | 19 Garton Plz, Weston, WV 26452-2128 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| Find all providers in zip 26452 | ||||
| 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 |
|---|---|---|---|---|
| 1952957268 | Rene Gacives Vega | Dentist | 16663 Hemingway Dr, Weston, FL 33326-1181 | 2019-08-13 |
| 1316446883 | Marcia Stern Greb | Dentist | 9 Davenport Rd, Weston, MA 02493-1501 | 2018-02-09 |
| 1932615929 | Maria Teresa Feiz | Dentist | 1573 Victoria Isle Way, Weston, FL 33327-1314 | 2017-12-28 |
| 1063935658 | Jennine M Santeiro | Dentist | 2701 Executive Park Dr Ste 4, Weston, FL 33331-3632 | 2017-07-25 |
| 1902356389 | Weston Modern Dentistry, Pa | Dentist | 280 Indian Trace, Suite A, Weston, FL 33326 | 2016-10-10 |
| 1235579806 | Chase Dental Sleepcare of Weston | Dentist | 2239 N Commerce Parkway, Suite 1, Weston, FL 33326-4509 | 2013-06-27 |
| 1912265141 | Miguel Angel Figueroa | Dentist | 370 Fern Dr, Weston, FL 33326-1684 | 2012-04-25 |
| 1245516558 | Maria Adelaida Hurtado | Dentist | 2813 Kinsington Cir, Weston, FL 33332-1863 | 2011-11-01 |
| 1538396791 | Luis Fernando Breton | Dentist | 2711 Executive Park Dr, Suite 4, Weston, FL 33331-3637 | 2009-06-15 |
| 1861645830 | James Robert Bennett | Dentist | 19 Garton Plz, Weston, WV 26452-2128 | 2008-11-03 |
| Find all providers in WESTON | ||||
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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.