Provider Demographics
NPI:1215290481
Name:GETZ, DUSTIN JAMES (DDS)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:JAMES
Last Name:GETZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ROUTE 98 MEDWOOD PLAZA
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NUTTER FORT
Mailing Address - State:WV
Mailing Address - Zip Code:26301
Mailing Address - Country:US
Mailing Address - Phone:304-622-5711
Mailing Address - Fax:304-622-6001
Practice Address - Street 1:200 ROUTE 98 MEDWOOD PLAZA
Practice Address - Street 2:SUITE 302
Practice Address - City:NUTTER FORT
Practice Address - State:WV
Practice Address - Zip Code:26301
Practice Address - Country:US
Practice Address - Phone:304-622-5711
Practice Address - Fax:304-622-6001
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039120122300000X
WV4002122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist