IndividualActive
Paul Kloostra, MD, DDS
NPI 1952503104 · Oral and Maxillofacial Surgery (Dentist) · Charleston, WV
Provider details
- NPI number
- 1952503104
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- MD, DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 26313 (WV)
Specialties & taxonomies
Dental Providers
Practice location
830 Pennsylvania Ave
Suite 302
Charleston, WV 25302-3302
Phone: (304) 388-2950
Fax: (304) 388-2951
Approximate (ZIP-level) locationGet directions
Mailing address
830 Pennsylvania Ave 302
Charleston, WV 25302-3390
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2023-09-19
- Certified
- 2023-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.