David Roberto Carvajal, DDS

Individual provider Active NPI General Practice Dentistry · Martinsburg, WV

NPI 1609769769 · NPPES record last updated Jun 2, 2025

Key facts

NPI
1609769769
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4775 (WV)
Practice address
500 Foxcroft Ave
Martinsburg, WV 25401-5318
Phone
(304) 350-1703
NPI assigned
May 29, 2025
Sex
Male
Sole proprietor
No

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
4775WVMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4775 WV Yes

Addresses

Primary practice location

500 Foxcroft Ave
Martinsburg, WV 25401-5318

Mailing address

500 Foxcroft Ave
Martinsburg, WV 25401-5318
Phone (304) 350-1703

Other providers in Martinsburg, WV

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

Sources for this page

Verify at the official NPI Registry.