Search › West Virginia › Oral and Maxillofacial Surgery (Dentist)
Jack Krajekian, D.M.D
NPI 1790768562 · on the registry since 2005
Practice
- Address
- 1215 Virginia St E
Charleston, WV 25301 - Phone
- (304) 345-1092
- Fax
- (304) 345-1095
- Organisation at this address
- Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Also registered as
- Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery (Dentist) - Licence states on file
- WV, PA, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia