Morgantown Dental, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3456 Issued in WV

Legal business name

MORGANTOWN DENTAL, PLLC

Practice address

9000 Coombs Farm Dr
Ste 304
Morgantown, WV 26508

Phone

(304) 594-1670

Fax

(304) 594-1671

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

Janet Antonini

Title

Credentialing

Phone

(304) 765-5019

Specialties & licenses 4

Addresses

Other names 1

• Meridian Dental Specialists Doing business as

Locations

Practitioners 5

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

• Catherine E Conner, DDS, MS

  • Endodontics
  • Bridgeport, WV
  • NPI 1073629135
  NPD (past)
• Sean Michael Horan, D.D.S.

  • Endodontics
  • Morgantown, WV
  • NPI 1235572033
  NPD (past)
• Andrew Michael Marra, DDS

  • Endodontics
  • Morgantown, WV
  • NPI 1972163558
  NPD (past)
• Scott Thomas Seago, D.D.S.

  • Endodontics
  • Parkersburg, WV
  • NPI 1467643981
  NPD (past)
• Leslie P Wolford, DMD, MS.

  • Endodontics
  • Bridgeport, WV
  • NPI 1952980674
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1992297733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 COOMBS FARM DR",
            "address_2": "STE 304",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26508",
            "telephone_number": "304-594-1670",
            "fax_number": "304-594-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 COOMBS FARM DR",
            "address_2": "STE 304",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26508",
            "telephone_number": "304-594-1670",
            "fax_number": "304-594-1671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Dudley Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261012649",
            "country_code": "US",
            "telephone_number": "304-485-4600",
            "fax_number": "304-485-4618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Johnson Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263301389",
            "country_code": "US",
            "telephone_number": "304-842-0590",
            "fax_number": "304-842-0591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORGANTOWN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "ANTONINI",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "304-765-5019"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WV",
            "license": "3456",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WV",
            "license": "3682",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WV",
            "license": "3815",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WV",
            "license": "4092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgantown Area Private Duty LLC
• Morgantown Area Private Duty, LLC
• Morgantown Caregiving LLC
• Morgantown Dental Group, PLLC
• Morgantown Dental, PLLC
• Morgantown ENT Clinic Inc
• Morgantown Eye Associates PLLC
• Morgantown Health and Rehabilitation, LLC
• Morgantown Healthcare Corp
• Morgantown Heights of Journey, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.