Provider Demographics
NPI:1477158285
Name:DR. FRANCIS X. AMATO III, DMD PLLC
Entity Type:Organization
Organization Name:DR. FRANCIS X. AMATO III, DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GENA
Authorized Official - Middle Name:AMASON
Authorized Official - Last Name:AMATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-246-7473
Mailing Address - Street 1:4 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694-7375
Mailing Address - Country:US
Mailing Address - Phone:336-246-7473
Mailing Address - Fax:336-846-4895
Practice Address - Street 1:4 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694-7375
Practice Address - Country:US
Practice Address - Phone:336-246-7473
Practice Address - Fax:336-846-4895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty