Provider Demographics
NPI:1154455632
Name:SEMENTILLI, AMY MARY (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:MARY
Last Name:SEMENTILLI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:MARY
Other - Last Name:MOLINARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:28 RONNIE COURT
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306
Mailing Address - Country:US
Mailing Address - Phone:518-356-1511
Mailing Address - Fax:
Practice Address - Street 1:1740 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-6233
Practice Address - Country:US
Practice Address - Phone:518-346-6429
Practice Address - Fax:518-346-8495
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046910-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice