Provider Demographics
NPI:1831391606
Name:AMES, MARGARET M (DMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:AMES
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 1:50 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-1303
Mailing Address - Country:US
Mailing Address - Phone:631-261-4525
Mailing Address - Fax:631-261-5366
Practice Address - Street 1:50 BROADWAY
Practice Address - Street 2:
Practice Address - City:GREENLAWN
Practice Address - State:NY
Practice Address - Zip Code:11740-1303
Practice Address - Country:US
Practice Address - Phone:631-261-4525
Practice Address - Fax:631-261-5366
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0366651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice