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BRUCETON DENTAL PLLC
NPI 1215385935
Clinic/Center - Dental in Bruceton Mills, WV

Active since June 03, 2016
128 GREEN STREET, BRUCETON MILLS, WV 26525(304) 379-8101(304) 379-8102 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bruceton Dental Pllc NPPES

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

BRUCETON DENTAL PLLC (NPI 1215385935) is a healthcare organization registered as a dental in Bruceton Mills, West Virginia and active in the NPI registry since June 2016. The organization lists Scott Reo Okubo, Dds/owner, as its authorized official.

NPPES Registry Identity

NPI1215385935
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRUCETON DENTAL PLLC
Location Address128 GREEN STREETBruceton Mills, WV 26525
Mailing AddressPo Box 147Bruceton Mills, WV 26525-0147 · (304) 379-8101 · Fax (304) 379-8102
Phone(304) 379-8101
Fax(304) 379-8102
Organization SubpartNo
Authorized OfficialScott Reo OkuboDds/owner · (304) 379-8101
Enumeration DateJune 3, 2016
✔ NPI 1215385935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in WV · WV2976
128 GREEN STREET, Bruceton Mills, WV 26525
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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 Bruceton Dental PLLC's NPI number?

The NPI number for Bruceton Dental PLLC is 1215385935. It was assigned to this organization in the NPPES registry on June 3, 2016.

Where is Bruceton Dental PLLC located?

Bruceton Dental PLLC is located at 128 Green Street, Bruceton Mills, WV 26525. The listed phone number is (304) 379-8101.

What is Bruceton Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bruceton Dental PLLC was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.