Provider Demographics
NPI:1801610795
Name:CHARLES E. MCELFISH, DDS INC.
Entity type:Organization
Organization Name:CHARLES E. MCELFISH, DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MCELFISH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-757-7590
Mailing Address - Street 1:PO BOX 1127
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-1127
Mailing Address - Country:US
Mailing Address - Phone:304-757-7590
Mailing Address - Fax:304-757-4108
Practice Address - Street 1:3979 TEAYS VALLEY RD
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-9082
Practice Address - Country:US
Practice Address - Phone:304-757-7590
Practice Address - Fax:304-757-7590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty