NATALIE AMOA (NPI# 1104378611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104378611 |
Entity Type | Individual |
Full Name | NATALIE AMOA |
Credential | DMD, MS |
Practice Address |
8021b Castor Ave Philadelphia PA 19152-2733 |
Practice Telephone | 2157281610 |
Mailing Telephone | 2157281610 |
Enumeration Date | 2016-10-31 |
Last Update Date | 2019-06-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS039766 | PA | Dental Providers |
N | 1223P0300X |
Dentist Specialization: Periodontics |
DN22308 | FL | Dental Providers |
Street Address |
8021B CASTOR AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19152-2733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346778651 | Loren Nicole Genetti | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2017-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
Find all providers in zip 19152 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235792458 | Fany Briseyda Ocampo | Dentist | 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 | 2019-04-15 |
1992261036 | Manal Sabir | Dentist | 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 | 2019-02-13 |
1558720094 | Fathi Elgaddari | Dentist | 1500 Locust St Apt 1715, Philadelphia, PA 19102-4337 | 2016-02-11 |
1790185528 | David Paul Semeniuk | Dentist | 3223 N Broad St Rm 302, Philadelphia, PA 19140-5007 | 2014-08-28 |
1740616895 | Periodontal Consultants PC | Dentist | 2546 S Broad St Rear, Philadelphia, PA 19145-4638 | 2013-09-20 |
1942548664 | Peter Robert Hunt | Dentist | 266 S 21st St, Philadelphia, PA 19103-4860 | 2013-01-31 |
1083999759 | Merriam Seyedain | Dentist | 3223 N Broad St Ste 2a07, Philadelphia, PA 19140-5007 | 2011-10-13 |
1710275284 | Juan Carlos Cabrera | Dentist | 220 S 16th St Ste 901, Philadelphia, PA 19102-3309 | 2011-07-18 |
1982867412 | Scott Nakamura | Dentist | 240 S 4th St # 300, Philadelphia, PA 19106-3722 | 2008-07-03 |
1053582742 | Belinda Brown-joseph | Dentist | 40 West Evergreen Avenue, Suite 111, Philadelphia, PA 19118 | 2008-03-20 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19152 |
Please comment or provide details below to improve the information on NATALIE AMOA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.