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NPI 1104359959

OrganizationActive

Appalachian Oral Surgery Center

NPI 1104359959 · Oral and Maxillofacial Surgery (Dentist) · Morgantown, WV

Provider details

NPI number: 1104359959
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Authorized official: Matthew Koepke, Member
License: 4011 (WV)

Practice location

3433 University Ave

Suite 1

Morgantown, WV 26505-3052

Phone: (304) 322-4532

More WV providers

Mailing address

3433 University Ave

Morgantown, WV 26505-3052

Registry dates

Enumerated: 2017-04-09
Last updated: 2017-04-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Appalachian Oral Surgery Center — NPI 1104359959, Morgantown, WV | NPI Central