IndividualActive
David Lattanzi, DDS
NPI 1265511091 · Oral and Maxillofacial Surgery (Dentist) · Clarksburg, WV
Provider details
- NPI number
- 1265511091
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2692 (WV)
Specialties & taxonomies
Dental Providers
Practice location
700 West Pike Street
Suite 100
Clarksburg, WV 26301
Phone: (304) 622-4828
Fax: (304) 624-0977
Approximate (ZIP-level) locationGet directions
Mailing address
700 West Pike Street
Clarksburg, WV 26301
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.