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Organization
EVERETT & HOWELL DDS
Active
Organization
EVERETT & HOWELL DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY EVERETT DDS (DENTIST)
(304) 329-1989
Entity
Organization
Contact information
Practice address
202 TUNNELTON ST, SUITE 214, KINGWOOD, WV 26537-1452
(304) 329-1989
(304) 329-2550
Mailing address
202 TUNNELTON ST, SUITE 214, KINGWOOD, WV 26537-1452
(304) 329-1989
(304) 329-2550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3095
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001428639
BLUE CROSS
WV
05
—
3810004440
—
WV
Enumeration date
11/21/2006
Last updated
09/09/2008
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