Healthcare Provider Details
I. General information
NPI: 1881522837
Provider Name (Legal Business Name): DR. AMY LI, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7603 NC HIGHWAY 68 N
OAK RIDGE NC
27310-9816
US
IV. Provider business mailing address
7603 NC HIGHWAY 68 N
OAK RIDGE NC
27310-9816
US
V. Phone/Fax
- Phone: 336-560-6018
- Fax: 336-298-7079
- Phone: 336-560-6018
- Fax: 336-298-7079
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AMY
S
LI
Title or Position: DENTIST
Credential: DMD
Phone: 336-998-1076