Provider Demographics
NPI:1144549411
Name:MYERS, ADAM JOEL (DDS)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JOEL
Last Name:MYERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1189 PINEVIEW DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2780
Mailing Address - Country:US
Mailing Address - Phone:304-598-2030
Mailing Address - Fax:304-598-0230
Practice Address - Street 1:1189 PINEVIEW DR
Practice Address - Street 2:SUITE A
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2780
Practice Address - Country:US
Practice Address - Phone:304-598-2030
Practice Address - Fax:304-598-0230
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV39011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice