Healthcare Provider Details

I. General information

NPI: 1700198397
Provider Name (Legal Business Name): AMY MARIE KATHREAN FRENCH D.M.D, M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2010
Last Update Date: 11/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W 7TH ST SUITE 202
RENO NV
89503-2700
US

IV. Provider business mailing address

805 W 7TH ST SUITE 202
RENO NV
89503-2700
US

V. Phone/Fax

Practice location:
  • Phone: 775-322-5122
  • Fax: 775-322-7038
Mailing address:
  • Phone: 775-322-5122
  • Fax: 775-322-7038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberS4-93C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: