# TJ AMEREDES, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679943385
- **Authorized official:** DR. TJ AMEREDES DDS (OWNER/DENTIST)
- **Authorized official phone:** (304) 242-2400

## Contact information

- **Practice address:** 160 KRUGER ST, WHEELING, WV 26003-5160
- **Practice address phone:** (304) 242-2400
- **Practice address fax:** (304) 242-2401
- **Mailing address:** 160 KRUGER ST, WHEELING, WV 26003-5160
- **Mailing address phone:** (304) 242-2400
- **Mailing address fax:** (304) 242-2401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 10/07/2015