Provider Demographics
NPI:1548601156
Name:VILLAMAYOR, AIMEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:
Last Name:VILLAMAYOR
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 1:771 E HORIZON DR STE 176-180
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-8405
Mailing Address - Country:US
Mailing Address - Phone:702-943-0900
Mailing Address - Fax:702-943-8882
Practice Address - Street 1:771 E HORIZON DR STE 176-180
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-8405
Practice Address - Country:US
Practice Address - Phone:702-943-0900
Practice Address - Fax:702-943-8882
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXETN167390200000X
NV6589122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program