Provider Demographics
NPI:1598106379
Name:HALDEMAN, AMY J (DDS)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:HALDEMAN
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 1:6 YORKSHIRE ST STE A
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2763
Mailing Address - Country:US
Mailing Address - Phone:828-277-3474
Mailing Address - Fax:
Practice Address - Street 1:6 YORKSHIRE ST STE A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2763
Practice Address - Country:US
Practice Address - Phone:828-277-3474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6910122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist