Provider Demographics
NPI:1770687121
Name:RYMER, HELEN DEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:DEE
Last Name:RYMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:RAVENSWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26164
Mailing Address - Country:US
Mailing Address - Phone:304-273-2313
Mailing Address - Fax:304-273-5509
Practice Address - Street 1:707 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:RAVENSWOOD
Practice Address - State:WV
Practice Address - Zip Code:26164
Practice Address - Country:US
Practice Address - Phone:304-273-2313
Practice Address - Fax:304-273-5509
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2938122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0132753000Medicaid