Family Dentistry of Weston, PLLC

Organization Active NPI General Practice Dentistry · Weston, WV

NPI 1629420401 · NPPES record last updated Jul 6, 2016

Key facts

NPI
1629420401
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
4212 (WV)
Legal business name
FAMILY DENTISTRY OF WESTON, PLLC
Practice address
19 Garton PLZ
Weston, WV 26452-2128
Phone
(304) 269-6151
NPI assigned
Jul 6, 2016
Organization subpart
No

Authorized official

Name
Dr. Kayla Hudimac, D.D.S. NPI 1912356734
Title
Member
Phone
(304) 312-1652

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

National Provider Directory

Locations

19 Garton Plz
Weston, WV 26452
Phone (304) 269-6151

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 4212 WV Yes

Addresses

Primary practice location

19 Garton PLZ
Weston, WV 26452-2128

Mailing address

19 Garton PLZ
Weston, WV 26452-2128
Phone (304) 269-6151

Other providers in Weston, WV

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

Sources for this page

Verify at the official NPI Registry.