NADIA MARDMOMEN DDS
NPI 1720662471
Dentist - General Practice in Bridgeport, WV

Active since May 10, 2021
9 CHENOWETH DR, BRIDGEPORT, WV 26330(304) 842-1921 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2021, May 10, 2021 (2 updates tracked since 2021).

About Nadia Mardmomen Dds NPPES

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

NADIA MARDMOMEN DDS (NPI 1720662471) is an individual general practice provider in Bridgeport, West Virginia, licensed in West Virginia (4533) and active in the NPI registry since May 2021. She maintains a secondary practice location in Bridgeport.

NPPES Registry Identity

NPI1720662471
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNADIA MARDMOMENCredential: DDS
Location Address9 CHENOWETH DRBridgeport, WV 26330-1885
Mailing Address11 Woodbrook LnBridgeport, WV 26330-1047 · (304) 672-9994
Sole ProprietorYes
Enumeration DateMay 10, 2021
Last NPPES UpdateJune 29, 20212 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
NPI 1720662471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WV · 4533
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.
9 CHENOWETH DR, Bridgeport, WV 26330

Secondary Practice Location 1

Location 11219 Johnson Ave Ste 201Bridgeport, WV 26330-1353 · Phone (304) 842-7591

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 Aid Equipment
9 CHENOWETH DR
BRIDGEPORT, WV 26330
Student in an Organized Health Care Education/Training Program
9 CHENOWETH DR
BRIDGEPORT, WV 26330
Clinic/Center (Dental)
9 CHENOWETH DR
BRIDGEPORT, WV 26330

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 Nadia Mardmomen's NPI number?

The NPI number for Nadia Mardmomen is 1720662471. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Nadia Mardmomen located?

Nadia Mardmomen practices at 9 Chenoweth Dr, Bridgeport, WV 26330. The listed phone number is (304) 842-1921.

What is Nadia Mardmomen'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 Nadia Mardmomen was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.