DRS Wilson and Martino of Charleston, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3070 Issued in WV

Legal business name

DRS WILSON AND MARTINO OF CHARLESTON, PLLC

Practice address

2115 Charleston Town Ctr
Charleston, WV 25389-0007

Phone

(304) 720-7645

Fax

(304) 720-7643

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert V Martino, DDS

Title

Ceo

Phone

(304) 624-5250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154414381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 COST AVE",
            "city": "STONEWOOD",
            "state": "WV",
            "postal_code": "263014811",
            "telephone_number": "304-624-5250",
            "fax_number": "304-624-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CHARLESTON TOWN CTR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253890007",
            "telephone_number": "304-720-7645",
            "fax_number": "304-720-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS WILSON AND MARTINO OF CHARLESTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-624-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DENTAL MEDICAL CARD",
            "identifier": "3810001570",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin A Driver, M.D.
• DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc
• DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc
• DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc
• DRS Whittington & Whittington PTR
• DRS. Henry, Kinder & Associates, PLLC
• DRS. Moore and Moore Dental Associates
• DRS. Simpson & Guest, PLLC.
• Ezra Drumheller
• Debra Drust

• General Practice Dentistry in Charleston, WV
• Providers in Charleston, 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 Aug 22, 2020; 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.