Individual provider · Type 1 NPI
Malinda Maynard Husson, DDS, MSD
Pediatric Dentistry · Charleston, WV
NPI number
1629134317
Active
Practice location
4502 Maccorkle Ave SE Ste C
Charleston, WV 25304-1835
Fax (304) 926-9266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 0401410708 (VA) |
| Dentist | 122300000X | 3557 (WV) |
| Dental Anesthesiology | 1223D0004X | 3557 (WV) |
| Anesthesiology Physician | 207L00000X | 0401410708 (VA) |
| Pediatric Dentistry Primary | 1223P0221X | 3557 (WV) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Charleston
About NPI 1629134317
Malinda Maynard Husson, DDS, MSD's National Provider Identifier is 1629134317, issued on Dec 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Charleston, WV. The record was last updated on Mar 11, 2022.