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Dr. Russell Brooks Legg VII, DDS
General Practice Dentistry in Clay, West Virginia
NPI 1285673905

Russell Brooks Legg VII is a General Practice Dentistry based in Clay, WV and is specialized in General Practice. Russell Brooks Legg VII practices in Clay, WV and has the professional credentials of DDS. The NPI Number for Russell Brooks Legg VII is 1285673905 and holds a License No. WV-2123 (West Virginia).

The current practice location address for Russell Brooks Legg VII is 63 Carr St, Clay, WV and can be reached out via phone at 304-587-4232 and via fax at 304-587-2092.

Location: 63 Carr St, Clay, WV, 25043-9402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285673905
Provider Name
Russell Brooks Legg VII
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
63 Carr St, Clay, WV, 25043-9402
Phone Number
304-587-4232
Fax Number
304-587-2092
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0135486000 05 WV
WV2123 01 WV STATE LICENSE
000728088 01 MT. STATE BC/BS INSURANCE
728088 01 UNITED CONCORDIA INSURANC
55-0560454 01 WV FEIN NUMBER
institution
Provider Business Practice Location Address Details
Address
63 Carr St
City
Clay
State
West Virginia
Zip
25043-9402
Phone Number
304-587-4232
Fax Number
304-587-2092
person
Provider Business Mailing Address Details
Address
63 Carr St
City
Clay
State
West Virginia
Zip
25043-9402
Phone Number
304-587-4232
Fax Number
304-587-2092
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
WV-2123 (West Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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