Ethan Lafferty, DDS, PLLC

General Practice Dentistry · Bluefield, WV

Organization Active NPI

NPI number 1104605989

Practice location

1321 Stadium Dr
Bluefield, WV 24701-3318
Phone
(304) 327-7135
Fax
(304) 327-0758

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NPI record

NPI
1104605989
Entity type
Organization (Type 2)
Enumeration date
September 21, 2023
Last updated
September 21, 2023
Certified
September 20, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Authorized official

Name
Dr. Ethan Shamus Lafferty, DDS
Title
Owner
Phone
(304) 327-7135

About Ethan Lafferty, DDS, PLLC

Ethan Lafferty, DDS, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1321 Stadium Dr, Bluefield, WV 24701-3318. The NPI number 1104605989 was assigned on September 21, 2023 and the record was last updated on September 21, 2023.

The authorized official for this organization is Dr. Ethan Shamus Lafferty, DDS, Owner.

Frequently asked questions

What is the NPI number of Ethan Lafferty, DDS, PLLC?

The NPI number is 1104605989.

What is the phone number of Ethan Lafferty, DDS, PLLC?

The phone number listed for the practice location is (304) 327-7135.

Where is Ethan Lafferty, DDS, PLLC located?

1321 Stadium Dr, Bluefield, WV 24701-3318.

What is the taxonomy code for Ethan Lafferty, DDS, PLLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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