Organization
AMANDA SPRINGER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SPRINGER DDS (OWNER/DENTIST)
(304) 776-2223
Entity
Organization
Contact information
Practice address
5376 BIG TYLER RD, CROSS LANES, WV 25313-1059
(304) 776-2223
(304) 776-2223
Mailing address
5376 BIG TYLER RD, CROSS LANES, WV 25313-1059
(304) 776-2223
(304) 776-2223
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689103780
—
WV
Enumeration date
11/30/2022
Last updated
11/30/2022
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