Provider Demographics
NPI:1346328390
Name:NAGY & MAJESTRO, D.D.S., INC.
Entity Type:Organization
Organization Name:NAGY & MAJESTRO, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAJESTRO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-855-3939
Mailing Address - Street 1:PO BOX 4541
Mailing Address - Street 2:
Mailing Address - City:CHAPMANVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25508-4541
Mailing Address - Country:US
Mailing Address - Phone:304-855-3939
Mailing Address - Fax:304-855-5939
Practice Address - Street 1:MAIN STREET
Practice Address - Street 2:CHAPMANVILLE PROG BLDG SUITE #7
Practice Address - City:CHAMPMANVILLE
Practice Address - State:WV
Practice Address - Zip Code:25508-4541
Practice Address - Country:US
Practice Address - Phone:304-855-3939
Practice Address - Fax:304-855-5939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3193122300000X
WV3130122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0134112000Medicaid
WV0013026000Medicaid
WV0134101000Medicaid
133353OtherUNITED CONCORDIA