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Desiree Addis — NPI 1700567500, Clarksburg, WV | NPI Central

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Desiree Addis

NPI 1700567500 · Dental Assistant · Clarksburg, WV

Provider details

NPI number: 1700567500
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Dental AssistantPrimary126800000X
Dental Providers

Practice location

1 Med Center Dr

Clarksburg, WV 26301-4155

Phone: (304) 623-7640

Approximate (ZIP-level) locationGet directions

More WV providers

Mailing address

1 Med Center Dr

Clarksburg, WV 26301-4155

Registry dates

Enumerated: 2023-07-26
Last updated: 2023-07-26
Certified: 2023-07-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.