Provider Demographics
NPI:1366854812
Name:PIERCE, AMY M (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:M
Last Name:PIERCE
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 1:6201 TOWNCENTER DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9383
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6201 TOWNCENTER DR
Practice Address - Street 2:SUITE 301
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9383
Practice Address - Country:US
Practice Address - Phone:864-616-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC97571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice