Richard Diaz, Dds Inc.

LBN: Richard Diaz, Dds Inc.
Richard Diaz, Dds Inc. is an health care organization with primary practice located at 115 S Charles St , Charles Town WV 25414-1613. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Richard Diaz, Dds Inc. can be contacted via phone (304) 725-4492, or through Diaz, Richard via phone (304) 725-4492.

Contact Information

Primary practice address
115 S Charles St Charles Town WV 25414-1613
Phone: (304) 725-4492
Fax: (304) 725-9700
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Richard Doctor of Dental Surgery (DDS)
Phone: (304) 725-4492

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2571 West Virginia

Profile Details

NPI number 1700807856
LBN Legal business name Richard Diaz, Dds Inc.
DBA Doing business as
Authorized official Diaz, Richard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700807856 NPPES
West Virginia MEDICAID 0136653000

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