Amy Elise Augustine, D.D.S.
Individual provider Active NPI Pediatric Dentistry · Napoleon, OH
NPI 1689093148 · NPPES record last updated Sep 30, 2020
Key facts
- NPI
- 1689093148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 30.024946 (OH)
- Practice address
- 875 Westmoreland Ave
Napoleon, OH 43545-1260 - Phone
- (419) 592-9956
- Fax
- (419) 592-9855
- NPI assigned
- Apr 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.024946 | OH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowling Green Pediatric Dental Group Inc | Pediatric Dentistry | Past | Accepting new patients |
| Precision Pediatric Dental Bowling Green LLC | Pediatric Dentistry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 30.024946 | OH | Yes |
Addresses
Primary practice location
875 Westmoreland Ave
Napoleon, OH 43545-1260
Mailing address
875 Westmoreland Ave
Napoleon, OH 43545-1260
Phone (419) 592-9956
Other providers in Napoleon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2020. 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.