Provider Demographics
NPI:1730567314
Name:AMES, AMY (DMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:AMES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 LAC DE VILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5659
Mailing Address - Country:US
Mailing Address - Phone:585-271-6300
Mailing Address - Fax:585-271-6303
Practice Address - Street 1:2101 LAC DE VILLE BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5659
Practice Address - Country:US
Practice Address - Phone:585-271-6300
Practice Address - Fax:585-271-6303
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058582122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist