Provider Demographics
NPI:1841639879
Name:BANKS, AMY HUA (DDS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:HUA
Last Name:BANKS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:YOSHIDA
Other - Last Name:HUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1349 WATER VALLEY PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-6264
Mailing Address - Country:US
Mailing Address - Phone:970-460-8989
Mailing Address - Fax:970-460-8989
Practice Address - Street 1:1349 WATER VALLEY PKWY STE 101
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-6264
Practice Address - Country:US
Practice Address - Phone:970-460-8989
Practice Address - Fax:970-460-8989
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2038681223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry