Amy H Addington, DDS

Individual provider Active NPI General Practice Dentistry · Melbourne, FL

NPI 1376647016 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1376647016
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN13940 (FL)
Practice address
418 E New Haven Ave
Melbourne, FL 32901
Phone
(321) 722-3337
Fax
(321) 722-9951
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN13940FLMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN13940 FL Yes

Addresses

Primary practice location

418 E New Haven Ave
Melbourne, FL 32901

Mailing address

418 E New Haven Ave
Melbourne, FL 32901
Phone (321) 722-3337

Other providers in Melbourne, FL

All providers in Melbourne, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.