Provider Demographics
NPI:1427941103
Name:LEMONS, KASSIDY (DDS)
Entity type:Individual
Prefix:
First Name:KASSIDY
Middle Name:
Last Name:LEMONS
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 1:4098 WHITES CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PRICHARD
Mailing Address - State:WV
Mailing Address - Zip Code:25555-8126
Mailing Address - Country:US
Mailing Address - Phone:304-690-6806
Mailing Address - Fax:
Practice Address - Street 1:320 12TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1520
Practice Address - Country:US
Practice Address - Phone:304-525-8056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV47821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice