Provider Demographics
NPI:1275524183
Name:ARMSTEAD, ANGELA BETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:BETH
Last Name:ARMSTEAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12327
Mailing Address - Street 2:3414 PENNSYLVANIA AVENUE
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25302-0327
Mailing Address - Country:US
Mailing Address - Phone:304-343-2151
Mailing Address - Fax:304-343-2153
Practice Address - Street 1:3414 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25302-4633
Practice Address - Country:US
Practice Address - Phone:304-343-2151
Practice Address - Fax:304-343-2153
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV32671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice