Wellformed AI

NPI 1942609383 · live from the CMS NPI Registry

Elizabeth Amico, DMD

Dentist in Newport, OR. National Provider Identifier 1942609383, active.

NPI record

NPI1942609383 Type 1 · individual
StatusActive
Primary specialtyDentist 122300000X
Practice location324 Sw 7th St, Newport, OR 97365
Practice phone503-507-3588
Mailing address2433 Nw Lovejoy St, Portland, OR 97210
EnumeratedAugust 21, 2014
Last updatedJuly 23, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dental Hygienist124Q00000XH6799 (OR)
Dentist primary122300000XD12051 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.