Provider Demographics
NPI:1730583410
Name:DEAN C PAXTON DDS INC
Entity type:Organization
Organization Name:DEAN C PAXTON DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:PAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-465-8705
Mailing Address - Street 1:3257 SUMMERLEE RD
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-6173
Mailing Address - Country:US
Mailing Address - Phone:304-465-8705
Mailing Address - Fax:304-465-2163
Practice Address - Street 1:3257 SUMMERLEE RD
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-6173
Practice Address - Country:US
Practice Address - Phone:304-465-8705
Practice Address - Fax:304-465-2163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV39581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty