Raymond, Dominic John

Raymond, Dominic John is an individual health care provider with primary practice located at 56 Mileground Rd Suite A, Morgantown WV 26505-3803. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Raymond, Dominic John can be contacted via phone (304) 296-2273.

Contact Information

Primary practice address
56 Mileground Rd Suite A Morgantown WV 26505-3803
Phone: (304) 296-2273
Fax: (304) 296-0825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2703 West Virginia
Dental Providers / General Practice 1223G0001X DS023559L Pennsylvania
Dental Providers / General Practice 1223G0001X DN 10380 Florida

Profile Details

NPI number 1730270257
LBN Legal business name Raymond, Dominic John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated May 5th, 2015 - about 11 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 1730270257 NPPES
West Virginia MEDICAID 0133055000

Popular Providers