Dr. Amy L Truesdale, D.D.S.
Dentist, Pediatric Dentistry in New York, NY. Individual provider (NPI-1).
NPI number1114250628
StatusActive
Last updated in NPPESSep 15, 2009
Details
- NPI
- 1114250628
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amy L Truesdale
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2009
- Last updated
- Sep 15, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 051402 | NY | Yes |
Practice location
345 E 24th StClinic 9w
New York, NY 10010-4020
Phone 212-998-9359
Mailing address
345 E 24th StClinic 9w
New York, NY 10010-4020
Phone 212-998-9359
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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