Provider Demographics
NPI:1255359618
Name:AMOS, WILLIAM E III (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:AMOS
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:150 W BEAU ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4425
Mailing Address - Country:US
Mailing Address - Phone:724-228-4560
Mailing Address - Fax:724-228-4566
Practice Address - Street 1:150 W BEAU ST
Practice Address - Street 2:SUITE 308
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4425
Practice Address - Country:US
Practice Address - Phone:724-228-4560
Practice Address - Fax:724-228-4566
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS025829L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice