Organization
AMY EVERETT DDS AND ASSOCIATES PLLC
Active
Other names
Howell & Everett DDS PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMY PAULINE EVERETT (DENTIST/OWNER)
(304) 599-1234
Entity
Organization
Contact information
Practice address
503 BURROUGHS ST STE 105, MORGANTOWN, WV 26505-3386
(304) 599-1234
(304) 599-5105
Mailing address
503 BURROUGHS ST STE 105, MORGANTOWN, WV 26505-3386
(304) 599-1234
(304) 599-5105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000636495
UNITED CONCORDIA IND
WV
01
—
001376012
UNITED CONCORDIA IND
WV
01
—
001810168
UNITED CONCORDIA GROUP
WV
05
—
0133692001
—
WV
01
—
169320540798
HUMANA
WV
01
—
3095
LICENSE
WV
01
—
3530
LICENSE
WV
05
—
3810004441
—
WV
05
—
4001075000
—
WV
01
—
CS1529400264
CARESOURCE IND
WV
01
—
CS1529500111
CARESOURCE IND
WV
Enumeration date
08/30/2006
Last updated
12/27/2018
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