=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881522837
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. AMY LI, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2026
-----------------------------------------------------
Last Update Date | 05/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7603 NC HIGHWAY 68 N
-----------------------------------------------------
City | OAK RIDGE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27310-9816
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-560-6018
-----------------------------------------------------
Fax | 336-298-7079
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7603 NC HIGHWAY 68 N
-----------------------------------------------------
City | OAK RIDGE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27310-9816
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-560-6018
-----------------------------------------------------
Fax | 336-298-7079
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DENTIST
-----------------------------------------------------
Name | DR. AMY S LI
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 336-998-1076
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QD0000X
-----------------------------------------------------
Taxonomy Name | Dental Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------