Provider Demographics
NPI:1124112305
Name:HU, AIMEE P (DDS)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:P
Last Name:HU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:AIMEE
Other - Middle Name:L
Other - Last Name:POTASEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2291 ROUTE 33 STE 1002
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1717
Mailing Address - Country:US
Mailing Address - Phone:609-588-5601
Mailing Address - Fax:
Practice Address - Street 1:2291 HIGHWAY 33 STE 1002
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1717
Practice Address - Country:US
Practice Address - Phone:609-528-7541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0141561223G0001X
NY061534-011223G0001X
MND122141223G0001X
NJ22DI028250001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0832731Medicaid