Amy Everett DDS and Associates PLLC
Organization Active NPI Dentist · Morgantown, WV
NPI 1245340355 · NPPES record last updated Dec 27, 2018
Key facts
- NPI
- 1245340355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- AMY EVERETT DDS AND ASSOCIATES PLLC
- Practice address
- 503 Burroughs St Ste 105
Morgantown, WV 26505-3386 - Phone
- (304) 599-1234
- Fax
- (304) 599-5105
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Amy Pauline Everett
- Title
- Dentist/Owner
- Phone
- (304) 599-1234
Practitioners 2
-
Adam Boustany, DDS
-
Amy Pauline Everett, DDS
National Provider Directory
Locations
503 Burroughs St
Ste 105
Morgantown, WV 26505
Phone (304) 599-1234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
503 Burroughs St Ste 105
Morgantown, WV 26505-3386
Mailing address
503 Burroughs St Ste 105
Morgantown, WV 26505-3386
Phone (304) 599-1234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3095 | Other | WV | LICENSE |
| 001376012 | Other | WV | UNITED CONCORDIA IND |
| 001810168 | Other | WV | UNITED CONCORDIA GROUP |
| 4001075000 | Medicaid | WV | |
| 3810004441 | Medicaid | WV | |
| 000636495 | Other | WV | UNITED CONCORDIA IND |
| 0133692001 | Medicaid | WV | |
| CS1529500111 | Other | WV | CARESOURCE IND |
| 169320540798 | Other | WV | HUMANA |
| 3530 | Other | WV | LICENSE |
| CS1529400264 | Other | WV | CARESOURCE IND |
Other names
- Howell & Everett DDS PLLC
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.