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STEVE CHILDRESS II DDS NPI 1922578764


NPI Information

NPI: 1922578764
Provider Name: STEVE CHILDRESS II, DDS
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
402 CARRIAGE DR
BECKLEY, WV
ZIP 25801
Phone: (304) 255-0439
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STEVE CHILDRESS II, DDS is a dentist in Beckley, WV. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. STEVE CHILDRESS II, DDS NPI is 1922578764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

402 CARRIAGE DR
BECKLEY, WV
ZIP 25801-806
Phone: (304) 255-0439

The provider's authorized official is Steven Wayne Childress .
The authorized official title is Owner/dentist and has the following contact phone number (304) 255-0439.

The enumeration date for this NPI number is 12/4/2018 and was last updated on 12/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11588145429OTHERWEST VIRGINIANATIONAL PLAN & PROVIDER ENUMERATION SERVICE
21548209869MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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