JEFFREY G MINCHAU DDS MS (NPI# 1992297733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992297733 |
| Entity Type | Organization |
| Organization Name | JEFFREY G MINCHAU DDS MS |
| Practice Address |
9000 Coombs Farm Dr Ste 304 Morgantown WV 26508 |
| Practice Telephone | 3045941670 |
| Practice Fax Number | 3045941671 |
| 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 |
3682 | WV | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
3815 | WV | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
4092 | WV | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
3456 | WV | Dental Providers |
| Street Address |
9000 COOMBS FARM DR STE 304 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| 1194013227 | Marc Anthony Phillips | Pharmacist | 1021 Laurelwood Drive, Morgantown, WV 26508 | 2011-07-11 |
| Find all providers in zip 26508 | ||||
| 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 |
|---|---|---|---|---|
| 1578728457 | Lauren Pectyo Namsupak | Dentist | 3412 University Ave, Morgantown, WV 26505-7220 | 2008-07-21 |
| 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 | 26508 |
Please comment or provide details below to improve the information on JEFFREY G MINCHAU DDS MS.
| 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.