Individual provider · Type 1 NPI

Paul William Kloostra, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · Charleston, WV

NPI number 1952503104 Active

Practice location

830 Pennsylvania Ave, Suite 302
Charleston, WV 25302-3302

Call (304) 388-2950 Map

Fax (304) 388-2951

Mailing address

830 Pennsylvania Ave 302
Charleston, WV 25302-3390

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X26313 (WV)

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.

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About NPI 1952503104

Paul William Kloostra, MD, DDS's National Provider Identifier is 1952503104, issued on Jun 1, 2007. 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 Sep 19, 2023.