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DR. AMANDA SARA BOUSTANY D.D.S., M.S.D.
NPI 1710327556
Dentist - Endodontics in Charleston, WV

Active since June 25, 2013
405 CAPITOL ST, SUITE 914, CHARLESTON, WV 25301(304) 345-1248(304) 345-1249 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Amanda Sara Boustany D.d.s., M.s.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMANDA SARA BOUSTANY D.D.S., M.S.D. (NPI 1710327556) is an individual endodontics provider in Charleston, West Virginia, licensed in West Virginia (4180) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1710327556
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. AMANDA SARA BOUSTANYCredential: D.D.S., M.S.D.
Location Address405 CAPITOL ST, SUITE 914Charleston, WV 25301-1749
Mailing Address405 Capitol St, Suite 914Charleston, WV 25301-1749 · (304) 345-1248 · Fax (304) 345-1249
Phone(304) 345-1248
Fax(304) 345-1249
Sole ProprietorNo
Enumeration DateJune 25, 2013
Last NPPES UpdateJanuary 5, 2017
✔ NPI 1710327556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in WV · 4180
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.
405 CAPITOL ST, Charleston, WV 25301
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADIGAN RAE BURGESS D.D.S.
Dentist
405 CAPITOL ST, THE PARLOR SUITE
CHARLESTON, WV 25301
Kanawha County (304) 346-4820
FIRST CHOICE HEALTH, INC.
In Home Supportive Care
405 CAPITOL ST, SUITE 1003
CHARLESTON, WV 25301
Kanawha County (304) 344-2256
CAPITOL ENDODONTICS, PLLC
Dentist (Endodontics)
405 CAPITOL ST, SUITE 914
CHARLESTON, WV 25301
Kanawha County (304) 345-1248
DR. JOHN P BURGESS DDS
Dentist (General Practice)
405 CAPITOL ST, THE PARLOR SUITE
CHARLESTON, WV 25301
Kanawha County (304) 346-4820
DR. JOHN K KUYK D.D.S.
Dentist (Endodontics)
405 CAPITOL ST, SUITE 914
CHARLESTON, WV 25301
Kanawha County (304) 345-1248

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Boustany's NPI number?

The NPI number for Amanda Boustany is 1710327556. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Amanda Boustany located?

Amanda Boustany practices at 405 Capitol St Suite 914, Charleston, WV 25301. The listed phone number is (304) 345-1248.

What is Amanda Boustany's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Amanda Boustany was last updated on January 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.