Provider Demographics
NPI:1508258781
Name:AMY CONNOR DDS PLLC
Entity Type:Organization
Organization Name:AMY CONNOR DDS PLLC
Other - Org Name:CONNOR FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-824-9774
Mailing Address - Street 1:131 MAPLE ROW BLVD STE D402
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3777
Mailing Address - Country:US
Mailing Address - Phone:675-824-9774
Mailing Address - Fax:615-826-1693
Practice Address - Street 1:131 MAPLE ROW BLVD STE D402
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3777
Practice Address - Country:US
Practice Address - Phone:675-824-9774
Practice Address - Fax:615-826-1693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9497122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty