Provider Demographics
NPI:1477315992
Name:GARRANDES, AMANDA (DMD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:GARRANDES
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 1:660 WASHINGTON ST APT 7F
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-3221
Mailing Address - Country:US
Mailing Address - Phone:786-877-1254
Mailing Address - Fax:
Practice Address - Street 1:1810 WASHINGTON ST STE 3&4
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1685
Practice Address - Country:US
Practice Address - Phone:508-499-8435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN10000898122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist