IndividualActive
William Wine, DDS
NPI 1649204405 · Oral and Maxillofacial Surgery (Dentist) · Beckley, WV
Provider details
- NPI number
- 1649204405
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1898 (WV)
Specialties & taxonomies
Dental Providers
Practice location
750 Stanaford Rd
Beckley, WV 25801-8737
Phone: (304) 252-8609
Fax: (304) 253-8870
Approximate (ZIP-level) locationGet directions
Mailing address
750 Stanaford Rd
Beckley, WV 25801-8737
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2008-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.