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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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