Provider Demographics
NPI:1164115390
Name:MENESES, AMY (DMD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MENESES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:VOLERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1721 FLAGLER AVE
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4926
Mailing Address - Country:US
Mailing Address - Phone:305-294-6696
Mailing Address - Fax:
Practice Address - Street 1:1721 FLAGLER AVE
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4926
Practice Address - Country:US
Practice Address - Phone:305-294-6696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN29330122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist