Morgantown Dental Group, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MORGANTOWN DENTAL GROUP, PLLC

Practice address

142 High St
Morgantown, WV 26505-5413

Phone

(304) 292-7307

Fax

(304) 292-1154

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Jason Michael Wilson, DDS

Title

Owner

Phone

(304) 292-7307

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Magy McKary, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1073139556
  NPD
• Joshua Marc Dolin

  • Dentist
  • Morgantown, WV
  • NPI 1407154370
  NPD (past)
• Edward Alan Hawkins, DDS

  • Dentist
  • Morgantown, WV
  • NPI 1225473846
  NPD (past)
• Michael Alan Wilson, DDS

  • Dentist
  • Morgantown, WV
  • NPI 1235574856
  NPD (past)

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1609600238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HIGH ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055413",
            "telephone_number": "304-292-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HIGH ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055413",
            "telephone_number": "304-292-7307",
            "fax_number": "304-292-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTOWN DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-292-7307",
        "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": []
}

• Morgantown Area Private Duty LLC
• Morgantown Area Private Duty LLC
• Morgantown Area Private Duty LLC
• Morgantown Area Private Duty, LLC
• Morgantown Caregiving LLC
• Morgantown Dental, PLLC
• Morgantown Dental, PLLC
• Morgantown ENT Clinic Inc
• Morgantown Eye Associates PLLC
• Morgantown Health and Rehabilitation, LLC

• General Practice Dentistry in Morgantown, WV
• Providers in Morgantown, 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 27, 2024; 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.