Provider Demographics
NPI:1497015515
Name:AMADOR, MARIA E (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:E
Last Name:AMADOR
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 1:1034 BREEZE HILL RD APT 13B
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-7755
Mailing Address - Country:US
Mailing Address - Phone:407-508-8211
Mailing Address - Fax:
Practice Address - Street 1:240 MCLAWS CIR STE 153
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-5678
Practice Address - Country:US
Practice Address - Phone:757-220-9492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014149161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice