IndividualActive
Amanda Villa
NPI 1861155202 · Dental Hygienist · Camp Lejeune, NC
Provider details
- NPI number
- 1861155202
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12599 (NC)
Specialties & taxonomies
Dental Providers
Practice location
2d Denbn/Ndc, Psc 20130
315 Mchugh Blvd
Camp Lejeune, NC 28542
Phone: (910) 451-2208
Approximate (ZIP-level) locationGet directions
Mailing address
2d Denbn/Ndc, Psc 20130
Camp Lejeune, NC 28542
Registry dates
- Enumerated
- 2021-10-21
- Last updated
- 2021-10-21
- Certified
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.