Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Dale Medicine & Pediatrics, PLLC

Organization Internal Medicine Physician · NPI 1710974159

Glen Dale Medicine & Pediatrics, PLLC is an Internal Medicine Physician in Glen Dale, West Virginia. Licensed in West Virginia. Registered with an NPI since 2005.

Licensed in
WV
In the registry since
2005
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

407 Wheeling Ave
Glen Dale, WV 26038-1536
Phone: (304) 845-1500
Fax: (304) 845-1552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence -001 (WV)
Internal Medicine Physician Taxonomy 207R00000X · Licence -001 (WV)

Record details

NPI number1710974159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Hess — Phys/Owner · (304) 845-1500
NPI enumeratedSeptember 30, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address908 Chestnut Dr, Glen Dale, WV 26038-1002

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