Eric J Bailey, DDS
Individual provider Active NPI Pediatric Dentistry · Hurricane, WV
NPI 1487948741 · NPPES record last updated Sep 17, 2014
Key facts
- NPI
- 1487948741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 3951 (WV)
- Practice address
- 3659 Teays Valley Rd
Suite 100
Hurricane, WV 25526-9701 - Phone
- (304) 201-8500
- NPI assigned
- Jun 4, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3951 | WV | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Martin & Kirk PLLC | Pediatric Dentistry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3951 | WV | Yes |
Addresses
Primary practice location
3659 Teays Valley Rd
Suite 100
Hurricane, WV 25526-9701
Mailing address
3659 Teays Valley Rd
Suite 100
Hurricane, WV 25526-9701
Phone (304) 533-6697
Other providers in Hurricane, WV
- Debra Arnett
- Aspire to Inspire Behavioral Health and Addiction Services, LLC
- David Codie Atkinson
- Samantha Eve Aybar
- Sara E. Babcock
- Jeanne Kaye Bailey
- Marsha Lee Bailey
- Shelley Bailey
- Bryanna Lea Baker-Meckley
- Rachel Elizabeth Baldrige-Bush
All providers in Hurricane, WV · Pediatric Dentistry in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.