# AMANDA SPRINGER DDS PLLC

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

## Provider details

- **NPI number:** 1770293706
- **Authorized official:** AMANDA SPRINGER DDS (OWNER/DENTIST)
- **Authorized official phone:** (304) 776-2223

## Contact information

- **Practice address:** 5376 BIG TYLER RD, CROSS LANES, WV 25313-1059
- **Practice address phone:** (304) 776-2223
- **Practice address fax:** (304) 776-2223
- **Mailing address:** 5376 BIG TYLER RD, CROSS LANES, WV 25313-1059
- **Mailing address phone:** (304) 776-2223
- **Mailing address fax:** (304) 776-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2022
- **Last updated:** 11/30/2022