Healthcare Provider Details

I. General information

NPI: 1992664445
Provider Name (Legal Business Name): AMY MELISSA BURNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DECA MORNINGCIRCLE BUILDING 575
APO AE
54529
US

IV. Provider business mailing address

PSC 9 BOX 5797
APO AE
09123-0058
US

V. Phone/Fax

Practice location:
  • Phone: 478-737-8998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number5233
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: