Provider Demographics
NPI:1679348148
Name:MCCORD, CYNTHIA DAWN (RDH)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:DAWN
Last Name:MCCORD
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 PATTERSON LN
Mailing Address - Street 2:
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037-1042
Mailing Address - Country:US
Mailing Address - Phone:304-670-2743
Mailing Address - Fax:
Practice Address - Street 1:3136 WEST ST
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-4637
Practice Address - Country:US
Practice Address - Phone:304-748-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2317124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist