Malinda Grace Royce, RDH

Individual provider Active NPI Dental Hygienist · Gary, WV

NPI 1003602186 · NPPES record last updated Apr 16, 2025

Key facts

NPI
1003602186
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
2439 (WV)
Practice address
5883 Black Diamond Hwy
Gary, WV 24836
Phone
(304) 448-2101
NPI assigned
Apr 16, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2439WVMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2439 WV Yes

Addresses

Primary practice location

5883 Black Diamond Hwy
Gary, WV 24836

Mailing address

664 Littlesburg Rd
Bluefield, WV 24701-6685
Phone (304) 320-3050

Other providers in Gary, WV

All providers in Gary, WV · Dental Hygienist in West Virginia

Sources for this page

Verify at the official NPI Registry.