Steve Childress Ii, DDS

NPI #1922578764 in Beckley, West Virginia

Provider Information

NPI Number: 1922578764
Entity Type: Organization
Organization Name: Steve Childress Ii, DDS
Primary Specialty: Dentist
Enumeration Date: Dec 4, 2018
Last Updated: Dec 4, 2018

Practice Location

Address: 402 CARRIAGE DR
City: Beckley
State: West Virginia
ZIP Code: 25801-2806
Phone: (304) 255-0439

Authorized Official

Name: DR. STEVEN WAYNE CHILDRESS II, DDS
Title: OWNER/DENTIST
Phone: (304) 255-0439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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