Provider Demographics
NPI:1427547769
Name:DENSMORE, AMANDA SPAULDING (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:SPAULDING
Last Name:DENSMORE
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 1:3829 CLEGHORN AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2507
Mailing Address - Country:US
Mailing Address - Phone:615-383-0132
Mailing Address - Fax:
Practice Address - Street 1:3829 CLEGHORN AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2507
Practice Address - Country:US
Practice Address - Phone:615-383-0132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11008122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist