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Dr Michael A Joseph PLLC

Dentist, Periodontics in Hurricane, WV. Organization (NPI-2).

NPI number1124120175
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1124120175
Entity type
Organization (NPI-2)
Legal business name
Dr Michael A Joseph PLLC
Organization subpart
No
Enumeration date
Sep 1, 2006
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics3478Dental23PeriodonWVYes

Practice location

3 Davis Court
Hurricane, WV 25526

Phone 304-562-7117 · Fax 304-562-7118

Mailing address

3 Davis Court
Hurricane, WV 25526

Phone 304-562-7117 · Fax 304-562-7118

Authorized official

Michael Andrew Joseph
Member
3045226050

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