COUNTRY CLUB DENTAL PLLC
NPI 1821959131
Dentist - General Practice in Fairmont, WV
NPI Status: Active since November 18, 2025
Contact Information
1520 COUNTRY CLUB RD
FAIRMONT, WV
ZIP 26554
Phone: (304) 363-9160
- Organization
- Dentist
- General Practice
About COUNTRY CLUB DENTAL PLLC
This page provides the complete NPI Profile along with additional information for Country Club Dental Pllc, a provider established in Fairmont, West Virginia operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1821959131 assigned on November 2025. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Nadia Mardmomen Dds (Member)
- NPI
- 1821959131
- Provider Name
- COUNTRY CLUB DENTAL PLLC
- Entity Type
- Organization
- Location Address
- 1520 COUNTRY CLUB RD FAIRMONT, WV 26554
- Location Phone
- (304) 363-9160
- Mailing Address
- 80 GARDEN CIR BRIDGEPORT, WV 26330
- Mailing Phone
- (304) 672-9994
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-18-2025
- Last Update Date
- 11-18-2025
- Code Navigator
A dentist like Country Club Dental Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Reviews for COUNTRY CLUB DENTAL PLLC
5 out of 5 stars - Review by anonymous ***** on January 30, 2026
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.
5 out of 5 stars - Review by Sheila ***** on April 28, 2026
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.
5 out of 5 stars - Review by Sheila ***** on April 30, 2026
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.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1821959131, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821959131, enumerated as an "organization" on November 18, 2025.
The provider is located at 1520 COUNTRY CLUB RD FAIRMONT, WV 26554 and the phone number is (304) 363-9160.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
