Provider Demographics
NPI:1265860563
Name:LOMARTIRE, AMALIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMALIE
Middle Name:
Last Name:LOMARTIRE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 DURHAM RD STE C3
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2076
Mailing Address - Country:US
Mailing Address - Phone:203-453-4344
Mailing Address - Fax:
Practice Address - Street 1:5 DURHAM RD STE C3
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437
Practice Address - Country:US
Practice Address - Phone:203-453-4344
Practice Address - Fax:203-453-4344
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0109991223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics