DR. AMANDA SARA BOUSTANY


Address: 405 Capitol St, Suite 914, Charleston, WV 25301-1749
Phone: 3043451248

DR. AMANDA SARA BOUSTANY (NPI# 1710327556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710327556
Entity Type Individual
Full Name DR. AMANDA SARA BOUSTANY
Credential D.D.S., M.S.D.
Practice Address 405 Capitol St
Suite 914
Charleston
WV 25301-1749
Practice Telephone 3043451248
Practice Fax Number 3043451249
Mailing Telephone 3043451248
Mailing Fax Number 3043451249
Enumeration Date 2013-06-25
Last Update Date 2017-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
4180 WV Dental Providers

Office Location

Street Address 405 CAPITOL ST
SUITE 914
City CHARLESTON
State WV
Zip Code 25301-1749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760406565 John K Kuyk Dentist 405 Capitol St, Suite 914, Charleston, WV 25301-1749 2006-07-26
1518330463 Capitol Endodontics, Pllc Dentist 405 Capitol St, Suite 914, Charleston, WV 25301-1749 2015-11-01
1235484502 Madigan Rae Burgess Dentist 405 Capitol St, The Parlor Suite, Charleston, WV 25301-1749 2012-07-23
1508145921 First Choice Health, Inc. In Home Supportive Care 405 Capitol St, Suite 1003, Charleston, WV 25301-1749 2011-08-16
1568470680 John P Burgess Dentist 405 Capitol St, The Parlor Suite, Charleston, WV 25301-1749 2006-08-04
1134137904 Elizabeth Michelle Fizer Counselor 405 Capitol St, Charleston, WV 25301-1749 2006-08-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087680 Kerrie Rena Harris Counselor 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 2020-09-15
1285123471 Burgess Dental Dentist 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 2018-05-03
1104322320 Kara Caldwell Psychologist 333 Laidley St., 4'th Floor East, Charleston, WV 25301 2018-04-05
1740638022 Christina Phalen Pharmacy Technician 701 Lee Street East, Charleston, WV 25301 2016-05-27
1366867079 Brooke Powell Garnes Speech-Language Pathologist 1313 Quarrier Street, Suite A, Charleston, WV 25301 2014-03-04
1952648404 Implanted Pump Management, LLC Home Infusion 311 Laidley St., Suite 202, Charleston, WV 25301 2013-01-03
1730435108 Chaitanya Mishra Internal Medicine 501 Morris St Ste 357, Charleston, WV 25301 2012-08-03
1033477278 James Stephen Harman Neurological Surgery 415 Morris St Ste 400, Charleston, WV 25301 2012-04-25
1265674329 Howard and Howard Dental LLC Dentist 1321 Virginia St., Charleston, WV 25301 2009-04-03
1881856144 Steven David Hollosi Emergency Medicine 501 Morris St., Charleston, WV 25301 2008-06-27
Find all providers in zip 25301

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164710562 Ernest Stephen Fragale Dentist 405 Capitol St Ste 914, Charleston, WV 25301-1744 2011-07-19
1992018899 Kool Smiles Sc-2, PC Dentist 4400 Dorchester Rd Ste 108, Charleston, SC 29405-6863 2010-07-20
1295975977 Jason H. Cohen, Dmd, LLC Dentist 198 Rutledge Ave Ste 3, Charleston, SC 29403-5834 2009-02-20
1669692349 Walter R. Long Dentist 10 Farmfield Ave Ste E, Charleston, SC 29407-7756 2007-04-26
1538386313 Marc Levitan Dentist 173 Ashley Ave Rm 440 Bsb, Musc - Endodontics, Charleston, SC 29425-8908 2007-04-20
1548399793 William H. Fournier Jr. Dentist 675 Saint Andrews Blvd, Charleston, SC 29407-7343 2007-03-05
1619049475 Lora Beth Ford Dentist 112 Morris St, Charleston, WV 25301-2911 2006-11-15
1316021736 Donald W Mcvicker Dentist 1064 Gardner Lane, Suite 103, Charleston, SC 29407 2006-10-24
1760406565 John K Kuyk Dentist 405 Capitol St, Suite 914, Charleston, WV 25301-1749 2006-07-26
1437797495 Jeffrey C Kotz Dmd Pa Dentist 742 Saint Andrews Blvd, Charleston, SC 29407-7169 2019-12-20
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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