Provider Demographics
NPI:1558422246
Name:AMOUR, PIERRE JAMIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:JAMIL
Last Name:AMOUR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2628 MATLOCK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2525
Mailing Address - Country:US
Mailing Address - Phone:817-617-2860
Mailing Address - Fax:817-549-7871
Practice Address - Street 1:906 S SOTO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90023-1323
Practice Address - Country:US
Practice Address - Phone:323-263-9064
Practice Address - Fax:323-264-5655
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45810122300000X
TX37403122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist