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COUNTRY CLUB DENTAL PLLC
NPI 1821959131
Dentist - General Practice in Fairmont, WV

Active since November 18, 2025
1520 COUNTRY CLUB RD, FAIRMONT, WV 26554(304) 363-9160 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Country Club Dental Pllc NPPES

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

COUNTRY CLUB DENTAL PLLC (NPI 1821959131) is a healthcare organization registered as a general practice in Fairmont, West Virginia and active in the NPI registry since November 2025. The organization lists Nadia Mardmomen, Member, as its authorized official.

NPPES Registry Identity

NPI1821959131
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOUNTRY CLUB DENTAL PLLC
Location Address1520 COUNTRY CLUB RDFairmont, WV 26554-1353
Mailing Address80 Garden CirBridgeport, WV 26330-1367 · (304) 672-9994
Phone(304) 363-9160
Organization SubpartNo
Authorized OfficialNadia MardmomenMember · (304) 672-9994
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1821959131 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.
1520 COUNTRY CLUB RD, Fairmont, WV 26554
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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

Patient Reviews User submitted 3

Reviews are submitted by site visitors and approved by a human moderator before publication.

5.0based on 3 reviews

Review by Sheila ***** April 30, 2026

5/5
Dr. Nadia is very knowledgeable and professional. She has a very good way of treating patients. I had a root canal done and Dr. Nadia made my new crown, when I went back to get in placed in they measured it so good I didn't have to bite down on the blue paper because it was a perfect fit. I also love her Dental Hygienist Samantha D. She is definitely a plus to this office.
Provider 5/5 Office Staff 5/5

Review by Sheila ***** April 28, 2026

5/5
Dr. Nadia is very knowledgeable and professional. She has a very good way of treating patients. I had a root canal done and Dr. Nadia made my new crown, when I went back to get in placed in they measured it so good I didn't have to bite down on the blue paper because it was a perfect fit. I also love her Dental Hygienist Samantha D. She is definitely a plus to this office.
Provider 5/5 Office Staff 5/5

Review by anonymous ***** January 30, 2026

5/5
I had a fantastic experience at this dental practice! The office is clean, welcoming, and lively. My hygienist was awesome! Gave such a thorough and comfortable cleaning. Dr. Mardmomen was attentive, kind, and thorough, taking the time to explain everything that was happening. I’m so pleased and happy to have found such a great new dentist! Highly recommend.
Provider 5/5 Office Staff 5/5
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Other Providers at the Same Location NPPES

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

DR. DOUGLAS CLARK HANNAH DDS
Dentist
1520 COUNTRY CLUB RD
FAIRMONT, WV 26554
Marion County (304) 363-9160

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 Country Club Dental PLLC's NPI number?

The NPI number for Country Club Dental PLLC is 1821959131. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Country Club Dental PLLC located?

Country Club Dental PLLC is located at 1520 Country Club Rd, Fairmont, WV 26554. The listed phone number is (304) 363-9160.

What is Country Club Dental 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 Country Club Dental PLLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.