JEFFREY G. MINCHAU, DDS, MS, INC. (NPI# 1871085787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871085787 |
| Entity Type | Organization |
| Organization Name | JEFFREY G. MINCHAU, DDS, MS, INC. |
| Other Organization Name | PARKERSBURG ENDODONTICS |
| Practice Address |
2601 Dudley Avenue Bldg. 1 Parkersburg WV 26101 |
| Mailing Address |
9000 Coombs Farm Dr. Ste. 304 Morgantown WV 26508 |
| Practice Telephone | 3044854600 |
| Practice Fax Number | 3044854618 |
| Mailing Telephone | 3045941670 |
| Mailing Fax Number | 3045941671 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | DR. JEFFREY G. MINCHAU (OWNER/DENTIST) |
| Authorized Official Telephone | 3045941670 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
3779 | WV | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2805 | WV | Dental Providers |
| Other Name | Type Code |
|---|---|
| Parkersburg Endodontics | Former Legal Business Name - Organization |
| Street Address |
2601 DUDLEY AVENUE BLDG. 1 |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332682 | Tana Shea | Technician | 1906 Camden Ave, Parkersburg, WV 26101 | 2020-10-08 |
| 1386241776 | Karen Sleeth-harrison | Technician | 149 Rolling Hills Ct, Parkersburg, WV 26101 | 2020-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1699230128 | Sarah Marie Hendrix | Nurse Practitioner | 1013 Garfield Avenue, Parkersburg, WV 26101 | 2019-02-08 |
| 1902324544 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 17 Ronald Regan Drive, Parkersburg, WV 26101 | 2017-09-05 |
| 1033634282 | Caitlin Elizabeth Lanese | Speech-Language Pathologist | 2010 Garfield Ave Ste 2, Parkersburg, WV 26101 | 2017-08-09 |
| 1386168391 | Maria Cristina Steriu | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101 | 2017-08-01 |
| 1003342791 | Sue Ellen Kendall | Community Health Worker | 3407 7th Ave, Parkersburg, WV 26101 | 2017-05-02 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| 1013362011 | Kayla N Ware | Pharmacist | 930 Division Street, Parkersburg, WV 26101 | 2016-04-27 |
| Find all providers in zip 26101 | ||||
| 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 |
|---|---|---|---|---|
| 1073780284 | Michael Blaine Loftis | Dentist | 225 College Pkwy, Suite 103, Parkersburg, WV 26104-7655 | 2008-05-15 |
| 1003924473 | Mark A. Byron | Dentist | 2601 Dudley Ave, Parkersburg, WV 26101-2649 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1164710562 | Ernest Stephen Fragale | Dentist | 405 Capitol St Ste 914, Charleston, WV 25301-1744 | 2011-07-19 |
| 1578728457 | Lauren Pectyo Namsupak | Dentist | 3412 University Ave, Morgantown, WV 26505-7220 | 2008-07-21 |
| 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 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PARKERSBURG |
| Zip Code | 26101 |
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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.