Provider Demographics
NPI:1366000259
Name:L&B DENTAL, PLLC
Entity Type:Organization
Organization Name:L&B DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNNEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUCHESNE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-290-1997
Mailing Address - Street 1:3126 GEORGE WASHINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:WV
Mailing Address - Zip Code:26440-7231
Mailing Address - Country:US
Mailing Address - Phone:304-793-4653
Mailing Address - Fax:304-892-3943
Practice Address - Street 1:3126 GEORGE WASHINGTON HWY
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:WV
Practice Address - Zip Code:26440-7231
Practice Address - Country:US
Practice Address - Phone:304-793-4653
Practice Address - Fax:304-892-3943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No251K00000XAgenciesPublic Health or Welfare
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty