Most Relevant Information
Provider Data
| NPI Number: | 1003592346 |
| Provider Name: | SAMANTHA L PHELIX DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 4633 |
Most Important Dates
| Enumeration Date: | 06/22/2023 |
| Last Updated: | 06/22/2023 |
Provider Practice Location
4325 GERRARDSTOWN RD
INWOOD
WV
254283449
Practice Location Phone/Fax
| Phone: | 3042292181 |
| Fax: | 3042292291 |
Provider Mailing Location
4325 GERRARDSTOWN RD
INWOOD
WV
254283449
Provider Mailing Phone/Fax
| Phone: | 3042292181 |
| Fax: | 3042292291 |