Provider Demographics
NPI:1598832941
Name:MYER, WILLIAM ANDREW II (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANDREW
Last Name:MYER
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1191 PINEVIEW DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2778
Mailing Address - Country:US
Mailing Address - Phone:304-599-2415
Mailing Address - Fax:304-599-2418
Practice Address - Street 1:1191 PINEVIEW DR
Practice Address - Street 2:SUITE D
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2778
Practice Address - Country:US
Practice Address - Phone:304-599-2415
Practice Address - Fax:304-599-2418
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV32541223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery