Provider Demographics
NPI:1023447745
Name:CAROLINE G LABRITZ DDS INC
Entity type:Organization
Organization Name:CAROLINE G LABRITZ DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:G
Authorized Official - Last Name:LABRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-366-7771
Mailing Address - Street 1:315 1ST ST
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-2883
Mailing Address - Country:US
Mailing Address - Phone:304-366-7771
Mailing Address - Fax:304-366-5978
Practice Address - Street 1:315 1ST ST
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-2883
Practice Address - Country:US
Practice Address - Phone:304-366-7771
Practice Address - Fax:304-366-5978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV36331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty