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PEDIATRIC AND ADOLESCENT DENTISTRY
NPI 1669238572
Clinic/Center - Dental in Bridgeport, WV

Active since February 27, 2024
9 CHENOWETH DR, BRIDGEPORT, WV 26330(304) 842-1921(304) 842-1960 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric And Adolescent Dentistry NPPES

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

PEDIATRIC AND ADOLESCENT DENTISTRY (NPI 1669238572) is a healthcare organization registered as a dental in Bridgeport, West Virginia and active in the NPI registry since February 2024. The organization lists Moe Momen, Owner, as its authorized official.

NPPES Registry Identity

NPI1669238572
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEDIATRIC AND ADOLESCENT DENTISTRY
Location Address9 CHENOWETH DRBridgeport, WV 26330-1885
Mailing Address9 Chenoweth DrBridgeport, WV 26330-1885 · (304) 842-1921 · Fax (304) 842-1960
Phone(304) 842-1921
Fax(304) 842-1960
Organization SubpartNo
Authorized OfficialMoe MomenOwner · (304) 842-1921
Enumeration DateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1669238572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
9 CHENOWETH DR, Bridgeport, WV 26330
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Other Providers at the Same Location NPPES 3

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

HEARING SOLUTIONS SERVICES, INC.
Hearing Aid Equipment
9 CHENOWETH DR
BRIDGEPORT, WV 26330
Harrison County (304) 842-1060
TRISTAN SMITH DDS
Student in an Organized Health Care Education/Training Program
9 CHENOWETH DR
BRIDGEPORT, WV 26330
Harrison County (304) 842-1921
NADIA MARDMOMEN DDS
Dentist (General Practice)
9 CHENOWETH DR
BRIDGEPORT, WV 26330
Harrison County (304) 842-1921

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 Pediatric And Adolescent Dentistry's NPI number?

The NPI number for Pediatric And Adolescent Dentistry is 1669238572. It was assigned to this organization in the NPPES registry on February 27, 2024.

Where is Pediatric And Adolescent Dentistry located?

Pediatric And Adolescent Dentistry is located at 9 Chenoweth Dr, Bridgeport, WV 26330. The listed phone number is (304) 842-1921.

What is Pediatric And Adolescent Dentistry'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 Pediatric And Adolescent Dentistry was last updated on February 27, 2024. 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.