Dolan Legacy Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DOLAN LEGACY DENTAL, PLLC

Practice address

319 Main St
Madison, WV 25130-1221

Phone

(304) 688-1616

NPI assigned

Sep 2, 2026

Last updated

Sep 2, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew A Dolan, DDS

Title

Owner

Phone

(304) 688-1616

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1013826346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W BEECH LN",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301390",
            "telephone_number": "304-688-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301221",
            "telephone_number": "304-688-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLAN LEGACY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-688-1616",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Dickens
• Patreese Danielle Dickens
• Kwanye M Dickerson
• Nancy Dillon
• Tiffany Marie Dingess
• Lisa Gaye Dolan, RN
• Charlotte Dolin
• Landon Dolin
• Alisha Donahue
• Nancy Doss

• General Practice Dentistry in Madison, WV
• Providers in Madison, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.