MEDICARE: DR. MARLENA GIANNAMORE-ASHMORE DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019.036359	IL

General Provider Information

NPI Number	:	1235012196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARLENA GIANNAMORE-ASHMORE DMD

Provider Business Mailing Address
First Line	:	1935 SEDGEWOOD AVE
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60503-7350
Country	:	US
Telephone Number	:	203-232-0539
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 N WASHINGTON ST STE 106
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-3462
Country	:	US
Telephone Number	:	630-420-9090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	02/17/2026

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