Ashley, Amanda Gaynor

Ashley, Amanda Gaynor is an sole proprietor health care provider with primary practice located at 234 Natchez Trace Ave , Bowling Green KY 42103-7995. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Ashley, Amanda Gaynor can be contacted via phone (270) 715-5437.

Contact Information

Primary practice address
234 Natchez Trace Ave Bowling Green KY 42103-7995
Phone: (270) 715-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30-023178 Ohio
Dental Providers / Dentist 122300000X 1010 Alaska
Dental Providers / Pediatric Dentistry 1223P0221X 9425 Tennessee
Dental Providers / Pediatric Dentistry 1223P0221X 9156 Kentucky
Dental Providers / Pediatric Dentistry 1223P0221X 910 Kentucky

Profile Details

NPI number 1124142773
LBN Legal business name Ashley, Amanda Gaynor
Credentials DMD, MSEDU, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124142773 NPPES
Kentucky MEDICAID 7100232870

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