Provider Demographics
NPI:1093988792
Name:HUBERT H BYRON, DMD INC
Entity Type:Organization
Organization Name:HUBERT H BYRON, DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:BYRON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:304-425-3834
Mailing Address - Street 1:202 S WALKER ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2747
Mailing Address - Country:US
Mailing Address - Phone:304-425-2026
Mailing Address - Fax:
Practice Address - Street 1:202 S WALKER ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2747
Practice Address - Country:US
Practice Address - Phone:304-425-2026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2517261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental