Healthcare Provider Details

I. General information

NPI: 1861748790
Provider Name (Legal Business Name): AMANDA FAYE MEADE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2012
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 OLD US 70 W
BLACK MOUNTAIN NC
28711-2547
US

IV. Provider business mailing address

130 BILTMORE AVE
ASHEVILLE NC
28801-4106
US

V. Phone/Fax

Practice location:
  • Phone: 828-259-6700
  • Fax:
Mailing address:
  • Phone: 828-252-3891
  • Fax: 828-254-9067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10865
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number0401413689
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: