Mann, Dewey Wilson

Mann, Dewey Wilson is an individual health care provider with primary practice located at 104 Goff Mtn Rd , Cross Lanes WV 25313. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mann, Dewey Wilson can be contacted via phone (304) 776-6992.

Contact Information

Primary practice address
104 Goff Mtn Rd Cross Lanes WV 25313
Phone: (304) 776-6992
Fax: (304) 776-6992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2369 West Virginia

Profile Details

NPI number 1578663589
LBN Legal business name Mann, Dewey Wilson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578663589 NPPES
West Virginia MEDICAID 0135558000

Popular Providers