DRS Wilson and Martino of Teays Valley, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3070 Issued in WV

Legal business name

DRS WILSON AND MARTINO OF TEAYS VALLEY, PLLC

Practice address

4113 Teays Valley Rd
Scott Depot, WV 25560-9740

Phone

(304) 201-7645

Fax

(304) 757-3840

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By 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

Dr. Robert V Martino, DDSNPI 1669570081

Title

Ceo

Phone

(304) 624-5250

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert V Martino, DDS

  • General Practice Dentistry
  • Bridgeport, WV
  • NPI 1669570081
  Authorized official Same address or phone

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": "1174616304",
    "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": "4113 TEAYS VALLEY RD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609740",
            "telephone_number": "304-201-7645",
            "fax_number": "304-757-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS WILSON AND MARTINO OF TEAYS VALLEY, 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": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DENTAL MEDICAL CARD",
            "identifier": "3810001573",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannie Dailey
• Krista Dailey
• Erika Kim Davis, MA
• Devonshire Al Operations, LLC (Bellaire at Devonshire)
• Amanda Dowell
• Nancy K. Dunn, ED.D., APRN, BC, NP
• Amanda Stephens Dye, M.D.
• Daniel Eddy
• Deborah A Ellis, BS, ICCE
• Beth Bloom Emrick, M.D.

• General Practice Dentistry in Scott Depot, WV
• Providers in Scott Depot, 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.