Healthcare Provider Details

I. General information

NPI: 1821908088
Provider Name (Legal Business Name): AMY ELIZABETH NAVARRETTE RDH, BSDH, MED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 HM SMITH BLVD
CAMP LEJEUNE NC
28542
US

IV. Provider business mailing address

715 OLEANDER ST
JACKSONVILLE NC
28540-4297
US

V. Phone/Fax

Practice location:
  • Phone: 910-451-1720
  • Fax:
Mailing address:
  • Phone: 602-361-2137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number9977
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: