IndividualActive
Italo Di Prisco, D.D.S
NPI 1871807875 · Oral and Maxillofacial Surgery (Dentist) · Charleston, WV
Provider details
- NPI number
- 1871807875
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- License
- 4177 (WV)
Specialties & taxonomies
Dental Providers
Practice location
1215 Virginia St E
Charleston, WV 25301-2908
Phone: (304) 345-1092
Approximate (ZIP-level) locationGet directions
Mailing address
103 Station Place Way
Hurricane, WV 25526-8747
Additional practice locations (1)
- 51sw 11th St.Apt 1034Miami, FL 33130Phone: (786) 219-6497
Registry dates
- Enumerated
- 2010-08-02
- Last updated
- 2018-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.