MEDICARE: DR. RICHARD FRED AMENDOLA 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	3856	SC

General Provider Information

NPI Number	:	1790866606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD FRED AMENDOLA DDS

Provider Business Mailing Address
First Line	:	1197 N LAKE DR
Second Line	:	B
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7645
Country	:	US
Telephone Number	:	803-359-6130
Fax Number	:	803-359-4218

Provider Business Practice Location Address
First Line	:	1197 N LAKE DR
Second Line	:	B
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7645
Country	:	US
Telephone Number	:	803-359-6130
Fax Number	:	803-359-4218

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1093455313 — DR. ELIZABETH ANNE LAVALLEY OTERSEN MD
Practice Location Address:

103 THOMPSON ST STE 100
LEXINGTON, SC
29072-2543

Practice Phone: 803-359-8855
Practice Fax: 803-359-1257

1275130650 — LEXINGTON HEALTH INC
Practice Location Address:

811 W MAIN ST
LEXINGTON, SC
29072-2507

Practice Phone: 803-358-6100
Practice Fax:

1407457013 — LEXINGTON HEALTH INC
Practice Location Address:

154 SALUDA POINTE CT
LEXINGTON, SC
29072

Practice Phone: 803-785-3590
Practice Fax: 803-785-3595

1356283964 — CHARLOTTE ADELE HUGHES
Practice Location Address:

305 PALMETTO PARK BLVD
LEXINGTON, SC
29072-7872

Practice Phone: 803-359-7206
Practice Fax:

1578089215 — MRS. LYSA MICHELLE DEL GROSSO APRN
Practice Location Address:

301 PALMETTO PARK BLVD
LEXINGTON, SC
29072-7872

Practice Phone: 803-359-3545
Practice Fax:

1366384547 — GABRIELLE SHAHRAMFAR LPC
Practice Location Address:

216 E MAIN ST
LEXINGTON, SC
29072-3546

Practice Phone: 803-520-8295
Practice Fax:

Directions to “ DR. RICHARD FRED AMENDOLA DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.