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Contact Information

THEODORE AMEREDES, DDS
1433 OVERLOOK DR
WEIRTON, WV26062-5126
 Phone: 412-680-0366
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for THEODORE AMEREDES · (Male)

NPI Number 1053373092
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/05/2006
Last updated 02/14/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DS036716
  • PA Medicaid 1015259710001
  • PA Medicaid 1015259710002
  • PA Medicaid 1015259710003
  • PA Medicaid 1015259710004
  • PA Medicaid 1015259710005
  • PA Medicaid 1015259710006
  • PA Medicaid 1015259710007
  • PA Medicaid 1015259710008
  • PA Medicaid 1015259710009
  • PA Medicaid 1015259710010
  • PA Medicaid 1015259710011
  • PA Medicaid 1015259710012
  • PA Medicaid 1015259710013
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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