Appalachian Oral Surgery Center
NPI #1104359959 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1104359959
- Entity Type
- Organization
- Organization Name
- Appalachian Oral Surgery Center
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 9, 2017
- Last Updated
- Apr 9, 2017
Practice Location
- Address
- 3433 UNIVERSITY AVE
- Address 2
- SUITE 1
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26505-3052
- Phone
- (304) 322-4532
Authorized Official
- Name
- DR. MATTHEW ELWOOD KOEPKE, DDS
- Title
- MEMBER
- Phone
- (304) 904-7145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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