NPIMap

Makayla Brooke Gunter, DDS

Individual provider Active NPI General Practice Dentistry · Elkview, WV

NPI 1366060386 · NPPES record last updated Aug 26, 2022

Key facts

NPI
1366060386
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4521 (WV)
Practice address
4968 Elk River Rd S
Elkview, WV 25071-9644
Phone
(304) 965-6661
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
4521WVMDGeneral Practice Dentistry
11861NCMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joey L Adkins DDS PLLC Single Specialty Past
since Aug 28, 2022		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223P0106X 11861 NC
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X 4521 WV Yes

Addresses

Primary practice location

4968 Elk River Rd S
Elkview, WV 25071-9644

Mailing address

4968 Elk River Rd S
Elkview, WV 25071-9644
Phone (304) 965-6661

Other practice location 1

120 Dental Circle
Chapel Hill, NC 27599
Phone (304) 785-3588

Other names

  • Makayla Brooke Gresham Former name

Other providers in Elkview, WV

All providers in Elkview, WV · General Practice Dentistry in West Virginia

Sources for this page

Verify at the official NPI Registry.