Tebay, Harry Talbott

Tebay, Harry Talbott is an individual health care provider with primary practice located at 1301 Grand Central Ave , Vienna WV 26105-1052. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tebay, Harry Talbott can be contacted via phone (304) 295-8282.

Contact Information

Primary practice address
1301 Grand Central Ave Vienna WV 26105-1052
Fax: (304) 295-8282
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1953 West Virginia

Profile Details

NPI number 1487675690
LBN Legal business name Tebay, Harry Talbott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487675690 NPPES
West Virginia MEDICAID 0136045000

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