JRL DENTAL DBA GRACE DENTAL CARE
NPI 1043866338
Dentist - General Practice in Chelyan, WV

Active since August 13, 2019
15081 MACCORKLE AVE, CHELYAN, WV 25035(304) 595-3551(304) 595-6822 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jrl Dental Dba Grace Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JRL DENTAL DBA GRACE DENTAL CARE (NPI 1043866338) is a healthcare organization registered as a general practice in Chelyan, West Virginia and active in the NPI registry since August 2019. The organization lists Jason R Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1043866338
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJRL DENTAL DBA GRACE DENTAL CARE
Location Address15081 MACCORKLE AVEChelyan, WV 25035
Mailing Address1628 W 3rd AveWilliamson, WV 25661-3007
Fax(304) 595-6822
Organization SubpartNo
Authorized OfficialJason R LongOwner · (304) 784-6665
Enumeration DateAugust 13, 2019
NPI 1043866338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

15081 MACCORKLE AVE, Chelyan, WV 25035

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
15081 MACCORKLE AVE
CHELYAN, WV 25035
Dentist
15081 MACCORKLE AVE
CHELYAN, WV 25035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jrl Dental Dba Grace Dental Care's NPI number?

The NPI number for Jrl Dental Dba Grace Dental Care is 1043866338. It was assigned to this organization in the NPPES registry on August 13, 2019.

Where is Jrl Dental Dba Grace Dental Care located?

Jrl Dental Dba Grace Dental Care is located at 15081 Maccorkle Ave, Chelyan, WV 25035. The listed phone number is (304) 595-3551.

What is Jrl Dental Dba Grace Dental Care's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jrl Dental Dba Grace Dental Care was last updated on August 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.