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Dr. Susan Fowler Mccoy, DDS
General Practice Dentistry in Logan, West Virginia
NPI 1740325489

Susan Fowler Mccoy is a General Practice Dentistry based in Logan, WV and is specialized in General Practice. Susan Fowler Mccoy practices in Logan, WV and has the professional credentials of DDS. The NPI Number for Susan Fowler Mccoy is 1740325489 and holds a License No. WV3211 (West Virginia).

The current practice location address for Susan Fowler Mccoy is 127 Prosperity Lane, Logan, WV and can be reached out via phone at 304-752-4801 and via fax at 304-752-4825. You can also correspond with Susan Fowler Mccoy through the mailing address at 127 PROSPERITY LANE, LOGAN, WV - 25601 (mailing address contact number: 304-752-4801).

Location: 127 Prosperity Lane, Logan, WV, 25601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740325489
Provider Name
Susan Fowler Mccoy
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
127 Prosperity Lane, Logan, WV, 25601
Phone Number
304-752-4801
Fax Number
304-752-4825
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0134310000 05 WV
institution
Provider Business Practice Location Address Details
Address
127 Prosperity Lane
City
Logan
State
West Virginia
Zip
25601
Phone Number
304-752-4801
Fax Number
304-752-4825
person
Provider Business Mailing Address Details
Address
127 Prosperity Lane
City
Logan
State
West Virginia
Zip
25601
Phone Number
304-752-4801
Fax Number
304-752-4825
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
WV3211 (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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