IndividualActive
Amalie Vance
NPI 1972159010 · General Practice Dentistry · Georgetown, TX
Provider details
- NPI number
- 1972159010
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 34290 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2411 Williams Dr Ste 111
Georgetown, TX 78628-3268
Phone: (877) 800-5722
Approximate (ZIP-level) locationGet directions
Mailing address
205 E University Ave Ste 200
Georgetown, TX 78626-6821
Additional practice locations (1)
- 802 Avenue JMarble Falls, TX 78654-5125Phone: (877) 800-5722
Registry dates
- Enumerated
- 2019-08-14
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.