Provider Demographics
NPI:1760801971
Name:OUZER, AMANDA ELINOR (DMD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ELINOR
Last Name:OUZER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 LITTLETON RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4815
Mailing Address - Country:US
Mailing Address - Phone:973-334-6444
Mailing Address - Fax:973-888-9771
Practice Address - Street 1:320 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4815
Practice Address - Country:US
Practice Address - Phone:973-334-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02570000122300000X
NY057462122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist