OrganizationActive
Country Club Dental PLLC
NPI 1821959131 · General Practice Dentistry · Fairmont, WV
Country Club Dental PLLC is a General Practice Dentistry organization in Fairmont, WV (NPI 1821959131).
Provider details
- NPI number
- 1821959131
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nadia Mardmomen, Member(304) 672-9994
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1520 Country Club Rd
Fairmont, WV 26554-1353
Phone: (304) 363-9160
Street-level locationGet directions
Mailing address
80 Garden Cir
Bridgeport, WV 26330-1367
Registry dates
- Enumerated
- 2025-11-18
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Country Club Dental PLLC's NPI number?
- Country Club Dental PLLC's National Provider Identifier (NPI) is 1821959131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Club Dental PLLC?
- Country Club Dental PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Country Club Dental PLLC located?
- Country Club Dental PLLC's practice location on file with NPPES is 1520 Country Club Rd, Fairmont, WV 26554-1353.
- What is Country Club Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Country Club Dental PLLC is (304) 363-9160.
- Who is the authorized official for Country Club Dental PLLC?
- The authorized official listed on Country Club Dental PLLC's NPPES record is Nadia Mardmomen, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Club Dental PLLC's NPI active?
- Yes — Country Club Dental PLLC's NPI (1821959131) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.