DR. AMY ELIZABETH NEDLEY PA-C NPI 1508845728

NPI Information

NPI: 1508845728
Provider Name: DR. AMY ELIZABETH NEDLEY, PA-C
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
3125 TRANSVERSE DR
TOLEDO, OH
ZIP 43614
Phone: (419) 383-3780
Get Directions

DR. Amy Elizabeth Nedley, PA-C is a pediatric dentistry dentist in Toledo, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Amy Elizabeth Nedley, PA-C NPI is 1508845728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3125 TRANSVERSE DR
TOLEDO, OH
ZIP 43614-008
Phone: (419) 383-3780
Fax: (419) 383-2023

The enumeration date for this NPI number is 1/16/2006 and was last updated on 10/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	2901016874	MICHIGAN	Yes
2	363A00000X	Physician Assistant		50.005039RX	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J801645	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
2	3244055	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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