MEDICARE: DR. AIMEE M D'AMOUR DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	7078-15	WI

General Provider Information

NPI Number	:	1245674258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AIMEE M D'AMOUR DDS

Provider Business Mailing Address
First Line	:	737 REFLECTION DR
Second Line	:
City	:	VERONA
State	:	WI
Zip	:	53593
Country	:	US
Telephone Number	:	906-282-6365
Fax Number	:

Provider Business Practice Location Address
First Line	:	5898 WOODLAND DR
Second Line	:
City	:	WAUNAKEE
State	:	WI
Zip	:	53597-8714
Country	:	US
Telephone Number	:	608-849-4794
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2013
Last Update Date	:	05/16/2016

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