Provider Demographics
NPI:1760534317
Name:TURNER, AMY D (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:D
Last Name:TURNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:DT
Other - Last Name:GADOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:811 NINTH ST
Mailing Address - Street 2:STE 210
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3203
Mailing Address - Country:US
Mailing Address - Phone:919-286-3986
Mailing Address - Fax:
Practice Address - Street 1:811 NINTH ST
Practice Address - Street 2:STE 210
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3203
Practice Address - Country:US
Practice Address - Phone:919-286-4481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC77671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC902V2Medicaid