Aimee M D'Amour, DDS
Individual provider Active NPI General Practice Dentistry · Waunakee, WI
NPI 1245674258 · NPPES record last updated May 16, 2016
Key facts
- NPI
- 1245674258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7078-15 (WI)
- Practice address
- 5898 Woodland Dr
Waunakee, WI 53597-8714 - Phone
- (608) 849-4794
- NPI assigned
- Apr 21, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160505001545 | WI | Order and Referring Only - Oral Surgery |
4587963905 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7078-15 | WI | Yes |
Addresses
Primary practice location
5898 Woodland Dr
Waunakee, WI 53597-8714
Mailing address
737 Reflection Dr
Verona, WI 53593
Phone (906) 282-6365
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All providers in Waunakee, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.