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

Pediatric and Adolescent Dentistry

Organization Dental Clinic/Center · NPI 1669238572

Pediatric and Adolescent Dentistry is a Dental Clinic/Center in Bridgeport, West Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

9 Chenoweth Dr
Bridgeport, WV 26330-1885
Phone: (304) 842-1921
Fax: (304) 842-1960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1669238572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moe Momen — Owner · (304) 842-1921
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address9 Chenoweth Dr, Bridgeport, WV 26330-1885

Other providers in Bridgeport