DRS KRAJEKIANBROCKHENDERSON & DIPRISCO INC NPI 1801435003

NPI Information

  • NPI: 1801435003
  • Provider Name: DRS KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • CLIA Number: 51D2292349
  • Address: 220 LOCUST ST
    PRINCETON, WV
    ZIP 24740
  • Phone: (304) 425-8220

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NPI Details

DRS KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC is an oral and maxillofacial surgery dentist in Princeton, WV. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DRS KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC NPI is 1801435003. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 LOCUST ST
PRINCETON, WV
ZIP 24740-626
Phone: (304) 425-8220

The provider's authorized official is Lesley Marie Coyner .
The authorized official title is Credentialing and has the following contact phone number (304) 345-1092.

The CLIA number assigned to this NPI record is 51D2292349 - other - oral & max facial surg with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2020 and was last updated on 12/3/2020.

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
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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