1. Home
  2. Directory
  3. West Virginia
  4. Bluefield
  5. Dentist
  6. NPI Profile

ETHAN LAFFERTY, DDS, PLLC
NPI 1104605989
Dentist - General Practice in Bluefield, WV

Active since September 21, 2023
1321 STADIUM DR, BLUEFIELD, WV 24701(304) 327-7135(304) 327-0758 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Lafferty, Dds, Pllc NPPES

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

ETHAN LAFFERTY, DDS, PLLC (NPI 1104605989) is a healthcare organization registered as a general practice in Bluefield, West Virginia and active in the NPI registry since September 2023. The organization lists Ethan Shamus Lafferty, Owner, as its authorized official.

NPPES Registry Identity

NPI1104605989
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameETHAN LAFFERTY, DDS, PLLC
Location Address1321 STADIUM DRBluefield, WV 24701-3318
Mailing Address1321 Stadium DrBluefield, WV 24701-3318 · (304) 327-7135 · Fax (304) 327-0758
Phone(304) 327-7135
Fax(304) 327-0758
Organization SubpartNo
Authorized OfficialEthan Shamus LaffertyOwner · (304) 327-7135
Enumeration DateSeptember 21, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1104605989 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.
1321 STADIUM DR, Bluefield, WV 24701
Open in Google Maps ↗

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.

ETHAN SHAMUS LAFFERTY DDS
Dentist
1321 STADIUM DR
BLUEFIELD, WV 24701
Mercer County (304) 327-7135
DR. HAROLD LEE GOFORTH JR. D.D.S.
Dentist (General Practice)
1321 STADIUM DR
BLUEFIELD, WV 24701
Mercer County (304) 327-7135

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 Ethan Lafferty, Dds, PLLC's NPI number?

The NPI number for Ethan Lafferty, Dds, PLLC is 1104605989. It was assigned to this organization in the NPPES registry on September 21, 2023.

Where is Ethan Lafferty, Dds, PLLC located?

Ethan Lafferty, Dds, PLLC is located at 1321 Stadium Dr, Bluefield, WV 24701. The listed phone number is (304) 327-7135.

What is Ethan Lafferty, Dds, PLLC'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 Ethan Lafferty, Dds, PLLC was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.