Payton Southall, Dds, Pllc
NPI #1033963020 in Beckley, West Virginia
Provider Information
- NPI Number
- 1033963020
- Entity Type
- Organization
- Organization Name
- Payton Southall, Dds, Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Apr 15, 2024
- Last Updated
- May 5, 2024
Practice Location
- Address
- 220 RAGLAND RD
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-9721
- Phone
- (304) 252-0472
Authorized Official
- Name
- DR. PAYTON SOUTHALL, DDS
- Title
- PEDIATRIC DENTIST
- Phone
- (304) 252-0472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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