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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRY CLUB DENTAL PLLC

Active Organization

COUNTRY CLUB DENTAL PLLC is a General Dentistry organization located in FAIRMONT, West Virginia. NPI 1821959131 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FAIRMONT, WV

Registration Details

NPI Number
1821959131
Provider Type
Organization
NPI Issued
Nov 18, 2025 (0.76083254978536 yrs)
Last Updated
Nov 18, 2025

Practice Information

Address
1520 COUNTRY CLUB RD
FAIRMONT, WV, 265541353
Browse WV providers · Browse ZIP 26554
Phone
3043639160
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in FAIRMONT, WV

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.