Baileigh Nycole McKenzie, DMD
Dentist in Fort Gay, WV. Individual provider (NPI-1).
NPI number1295528263
StatusActive
Last updated in NPPESMay 23, 2025
Details
- NPI
- 1295528263
- Entity type
- Individual (NPI-1)
- Name
- Baileigh Nycole McKenzie
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2025
- Certification date
- May 23, 2025
- Last updated
- May 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4772 | WV | Yes |
Practice location
71 Wayne StFort Gay, WV 25514-8518
Phone 304-648-5544
Mailing address
71 Wayne StFort Gay, WV 25514-8518
Phone 304-648-5544
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