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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

NPI Number 1245340355
LBN Legal business name AMY EVERETT DDS AND ASSOCIATES PLLC
Authorized official AMY EVERETT - (DENTIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 12/27/2018 - About 7 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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