Boustany, Adam

Boustany, Adam is an individual health care provider with primary practice located at 2017 E Pike St , Clarksburg WV 26301-6013. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boustany, Adam can be contacted via phone (304) 623-9188.

Contact Information

Primary practice address
2017 E Pike St Clarksburg WV 26301-6013
Phone: (304) 623-9188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4338 West Virginia

Profile Details

NPI number 1699269233
LBN Legal business name Boustany, Adam
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2018
Last updated May 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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