Provider Demographics
NPI:1528154457
Name:MCGREW, TROY LEE (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:TROY
Middle Name:LEE
Last Name:MCGREW
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1044
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-3044
Mailing Address - Country:US
Mailing Address - Phone:304-562-7817
Mailing Address - Fax:304-562-7820
Practice Address - Street 1:3566 TEAYS VALLEY RD
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-9090
Practice Address - Country:US
Practice Address - Phone:304-562-7817
Practice Address - Fax:304-562-7820
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV32761223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics