Provider Demographics
NPI:1841189222
Name:MIRANDA KALASKEY, DDS, PLLC
Entity type:Organization
Organization Name:MIRANDA KALASKEY, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALASKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-543-7555
Mailing Address - Street 1:KALASKEY PEDIATRIC DENTISTRY
Mailing Address - Street 2:738 OLD AIRPORT ROAD
Mailing Address - City:CHAPMANVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25508
Mailing Address - Country:US
Mailing Address - Phone:304-738-7555
Mailing Address - Fax:
Practice Address - Street 1:KALASKEY PEDIATRIC DENTISTRY
Practice Address - Street 2:738 OLD AIRPORT ROAD
Practice Address - City:CHAPMANVILLE
Practice Address - State:WV
Practice Address - Zip Code:25508
Practice Address - Country:US
Practice Address - Phone:304-738-7555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty