Healthcare Provider Details

I. General information

NPI: 1972517795
Provider Name (Legal Business Name): AMARA CAROLINA ABREU SERRANO DDS, MSD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 05/30/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 BRAUER HALL DFP ADMINISTRATION
CHAPEL HILL NC
27599-1001
US

IV. Provider business mailing address

108 LONGWOOD DR
CHAPEL HILL NC
27514-9579
US

V. Phone/Fax

Practice location:
  • Phone: 919-537-3437
  • Fax:
Mailing address:
  • Phone: 919-537-3954
  • Fax: 919-537-3977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number27659
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDNF000330
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number13074
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: