Provider Demographics
NPI:1235340126
Name:AMHERST ORTHODONTICS
Entity Type:Organization
Organization Name:AMHERST ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EVEN
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:SHIEH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MMSC
Authorized Official - Phone:603-672-0844
Mailing Address - Street 1:5 OVERLOOK DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2831
Mailing Address - Country:US
Mailing Address - Phone:603-672-0844
Mailing Address - Fax:603-672-5972
Practice Address - Street 1:5 OVERLOOK DR
Practice Address - Street 2:SUITE 6
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2831
Practice Address - Country:US
Practice Address - Phone:603-672-0844
Practice Address - Fax:603-672-5972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty