Individual
DR. EDWARD L AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1002 AMHERST ST, WINCHESTER, VA 22601-3323
(540) 667-8287
Mailing address
1002 AMHERST ST, WINCHESTER, VA 22601-3323
(540) 667-8287
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000080
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000464722
MOUNTAIN STATE BCBS
WV
01
—
180707
ANTHEM
VA
Enumeration date
11/28/2006
Last updated
07/22/2014
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