Capitol Endodontics, PLLC
NPI 1518330463ActiveOrganization· Dentist, Endodontics· Charleston, WV
Dentist, Endodontics in Charleston, West Virginia, registered in NPPES in November 2015. The authorized official on file is Amanda Boustany, D.D.S., M.S.D., Owner.
Overview
| NPI | 1518330463 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2015 |
| Last updated in NPPES | Nov 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 4180 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, Endodontics providers in Charleston
- 1366596892
- 1255612479
- 1710327556
- 1427213966
- 1619049475
- 1164710562
- 1760406565
- 1962834341