IndividualActiveAccepts Medicare
Jerry Pennington, DDS
NPI 1568655413 · Dentist · Oak Hill, WV
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1568655413
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2641 (WV)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
497 Mall Rd
Oak Hill, WV 25901-6216
Phone: (304) 574-2076
Fax: (304) 574-1068
Approximate (ZIP-level) locationGet directions
Mailing address
497 Mall Rd
Oak Hill, WV 25901-6216
Registry dates
- Enumerated
- 2007-08-23
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.