# MAMS AND EVICK, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487863718
- **Authorized official:** DR. MARCIEA EVICK DDS (CO OWNER AND DENTIST)
- **Authorized official phone:** (304) 636-5800

## Contact information

- **Practice address:** 600 S RANDOLPH AVE, ELKINS, WV 26241-5702
- **Practice address phone:** (304) 636-5800
- **Practice address fax:** (304) 636-0971
- **Mailing address:** 600 S RANDOLPH AVE, ELKINS, WV 26241-5702
- **Mailing address phone:** (304) 636-5800
- **Mailing address fax:** (304) 636-0971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3598 | WV | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020