Provider Demographics
NPI:1700198397
Name:FRENCH, AMY MARIE KATHREAN (DMD, MS)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE KATHREAN
Last Name:FRENCH
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 W 7TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2700
Mailing Address - Country:US
Mailing Address - Phone:775-322-5122
Mailing Address - Fax:775-322-7038
Practice Address - Street 1:805 W 7TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2700
Practice Address - Country:US
Practice Address - Phone:775-322-5122
Practice Address - Fax:775-322-7038
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2014-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS4-93C1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics