Provider Demographics
NPI:1336522598
Name:QURESHI, AMERA
Entity type:Individual
Prefix:DR
First Name:AMERA
Middle Name:
Last Name:QURESHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7116 NOLENSVILLE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-2984
Mailing Address - Country:US
Mailing Address - Phone:615-283-0089
Mailing Address - Fax:
Practice Address - Street 1:7116 NOLENSVILLE RD STE 102
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-2984
Practice Address - Country:US
Practice Address - Phone:615-283-0089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR40611223G0001X
TN102161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice