Individual provider · Type 1 NPI

Jack Issac Krajekian, DMD

Oral and Maxillofacial Surgery (Dentist) · Charleston, WV

NPI number 1790768562 Active

Practice location

1215 Virginia St E
Charleston, WV 25301-2908

Fax (304) 345-1095

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X3542 (WV)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X116 (WV)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDS036241 (PA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X19714 (MA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2 other providers at this address

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About NPI 1790768562

Jack Issac Krajekian, DMD's National Provider Identifier is 1790768562, issued on Nov 25, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charleston, WV. The record was last updated on Jul 8, 2007.