Provider Demographics
NPI:1871997767
Name:AMO-MENSAH, ESTHER A (DMD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:A
Last Name:AMO-MENSAH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8249 DICKERSON LN STE A
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-2329
Mailing Address - Country:US
Mailing Address - Phone:443-343-2442
Mailing Address - Fax:443-736-3558
Practice Address - Street 1:8249 DICKERSON LN STE A
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-2329
Practice Address - Country:US
Practice Address - Phone:443-343-2442
Practice Address - Fax:443-736-3558
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD157461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice