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NPI Code Detail

MEDICARE: DR. AMANDA M SPRINGER DDS

MEDICARE:  DR. AMANDA M SPRINGER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4267WV

General Provider Information

NPI Number : 1689103780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA M SPRINGER DDS
Provider Business Mailing Address
First Line : 5376 BIG TYLER RD
Second Line :
City : CROSS LANES
State : WV
Zip : 25313-1059
Country : US
Telephone Number : 304-776-2223
Fax Number : 304-776-2225
Provider Business Practice Location Address
First Line : 5376 BIG TYLER RD
Second Line :
City : CROSS LANES
State : WV
Zip : 25313-1059
Country : US
Telephone Number : 304-776-2223
Fax Number : 304-776-2225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2017
Last Update Date : 09/15/2022

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Directions to “ DR. AMANDA M SPRINGER DDS” Practice Location

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