Provider Demographics
NPI:1972517795
Name:ABREU SERRANO, AMARA CAROLINA (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:AMARA
Middle Name:CAROLINA
Last Name:ABREU SERRANO
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 LONGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-9579
Mailing Address - Country:US
Mailing Address - Phone:919-537-3954
Mailing Address - Fax:919-537-3977
Practice Address - Street 1:143 BRAUER HALL DFP ADMINISTRATION
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-1001
Practice Address - Country:US
Practice Address - Phone:919-537-3437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX276591223P0700X
GADNF0003301223P0700X
NC130741223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1418385OtherUNITED CONCORDIA
GA971787592AMedicaid
SCZG0330Medicaid