Morgantown Dental, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

MORGANTOWN DENTAL, PLLC

Doing business as

MMS Dental Implants and Periodontics

Practice address

2000 Hampton Ctr Ste a
Morgantown, WV 26505-1704

Phone

(304) 906-4900

NPI assigned

Sep 27, 2023

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica Quinteros

Title

Credentialing

Phone

(724) 901-1964

Specialties & licenses 1

Addresses

Other names 1

• MMS Dental Implants and Periodontics Doing business as

Locations

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1972382026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ENTERPRISE DR STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HAMPTON CTR STE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051704",
            "telephone_number": "304-906-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTOWN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "QUINTEROS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "724-901-1964"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMS Dental Implants and Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgantown Area Private Duty LLC (Right at Home)
• Morgantown Area Private Duty LLC (Right At Home)
• Morgantown Area Private Duty, LLC (Right at Home)
• Morgantown Caregiving LLC
• Morgantown Dental Group, PLLC
• Morgantown Dental, PLLC (Meridian Dental Specialists)
• Morgantown ENT Clinic Inc
• Morgantown Eye Associates PLLC
• Morgantown Health and Rehabilitation, LLC
• Morgantown Healthcare Corp (Monpointe Continuing Care)

• Periodontics in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Periodontics in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.