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Contact Information

AMY EVERETT DDS AND ASSOCIATES PLLC
503 BURROUGHS ST STE 105
MORGANTOWN, WV26505-3386
 Phone: 304-599-1234
 Fax: 304-599-5105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AMY EVERETT DDS AND ASSOCIATES PLLC · (Female)

NPI Number 1245340355
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2006
Last updated 12/27/2018 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV Medicaid 0133692001
  • WV Medicaid 3810004441
  • WV Medicaid 4001075000
  • WV Other CS1529400264 CARESOURCE IND
  • WV Other CS1529500111 CARESOURCE IND
  • WV Other 169320540798 HUMANA
  • WV Other 3095 LICENSE
  • WV Other 3530 LICENSE
  • WV Other 001810168 UNITED CONCORDIA GROUP
  • WV Other 000636495 UNITED CONCORDIA IND
  • WV Other 001376012 UNITED CONCORDIA IND
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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