Provider Demographics
NPI:1689058026
Name:SEXTON, AMY RENEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:RENEE
Last Name:SEXTON
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 1:877 E GANNON AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-9445
Mailing Address - Country:US
Mailing Address - Phone:919-215-5686
Mailing Address - Fax:
Practice Address - Street 1:877 E GANNON AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-9314
Practice Address - Country:US
Practice Address - Phone:919-215-5686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10336122300000X, 1223G0001X
NY057914-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty