LIBERTY DENTAL CENTERS (NPI# 1679046049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679046049 |
| Entity Type | Organization |
| Organization Name | LIBERTY DENTAL CENTERS |
| Practice Address |
102 Galleria Plaza Beckley WV 25801 |
| Practice Telephone | 6812077063 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | MR. PATRICK D JARRELL (OWNER/PROVIDER) |
| Authorized Official Telephone | 6812077063 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
102 GALLERIA PLAZA |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| 1154830578 | Angela Dawn Norman | Counselor | 101 S. Eisenhower Dr., Beckley, WV 25801 | 2017-09-28 |
| Find all providers in zip 25801 | ||||
| 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 |
|---|---|---|---|---|
| 1629583190 | Stephanie Nichols Dmd LLC | Dentist | 4259 Robert C Byrd Dr, Beckley, WV 25801-2223 | 2017-12-06 |
| 1992098651 | Derek Ross | Dentist | 316 Prudential Dr, Beckley, WV 25801-8870 | 2011-05-27 |
| 1598950024 | William Lance Dillon | Dentist | 3151 Robert C. Byrd Dr., Beckley, WV 25801 | 2007-09-07 |
| 1225233216 | Charles William Cappellari | Dentist | 729 South Kanawha St, Beckley, WV 25801-0729 | 2007-06-19 |
| 1356497424 | Anthony Joseph Williams | Dentist | 200 Stanaford Road, Beckley, WV 25801 | 2007-01-25 |
| 1639236029 | Jill E. Shumate | Dentist | 403 Third Ave., Beckley, WV 25801 | 2007-01-03 |
| 1033271572 | Stephen Wallace Finch | Dentist | 1100 Neville St, Beckley, WV 25801-4228 | 2006-12-14 |
| 1518027135 | Gregory Todd Harvey | Dentist | 114 Beckley Plaza Mall, Beckley, WV 25801 | 2006-12-12 |
| 1912019571 | Grant Sherwood Mason | Dentist | 220 Professional Park, Beckley, WV 25801-3624 | 2006-08-31 |
| 1548209869 | Steve Childress II | Dentist | 402 Carriage Dr, Beckley, WV 25801-2806 | 2006-06-05 |
| Find all providers in BECKLEY | ||||
Please comment or provide details below to improve the information on LIBERTY DENTAL CENTERS.
| 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.