IndividualActive
Michele Agusto, DDS
NPI 1245735224 · Periodontics · Morgantown, WV
Provider details
- NPI number
- 1245735224
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- IP1701 (WV)
Specialties & taxonomies
Dental Providers
Practice location
451 Suncrest Town Centre Dr
Morgantown, WV 26505-1814
Phone: (304) 293-5642
Approximate (ZIP-level) locationGet directions
Mailing address
1233 Pineview Dr Apt 22
Morgantown, WV 26505-2786
Registry dates
- Enumerated
- 2018-03-29
- Last updated
- 2018-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.