DR. MICHAEL ANTHONY FERNANDEZ (NPI# 1457455081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457455081 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANTHONY FERNANDEZ |
| Credential | D.D.S. |
| Practice Address |
148 Loreta St Ste B Dededo GU 96929-5376 |
| Practice Telephone | 6716331995 |
| Practice Fax Number | 6716331996 |
| Mailing Telephone | 6716331995 |
| Mailing Fax Number | 6716331996 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D975 | GU | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124459326 | Michael Fernandez | Obstetrics & Gynecology | 13806 Khilani Ct, Tampa, FL 33624-6919 | 2013-12-12 |
| 1073845434 | Michael Fernandez | Chiropractor | 161 Russell Rd, Hurley, NY 12443-5515 | 2010-02-09 |
| 1942235304 | Michael Edward Fernandez | Specialist/Technologist | 1202 W Edinger Ave, Santa Ana, CA 92707-2126 | 2006-07-12 |
| 1740229590 | Michael A Fernandez | Chiropractor | 6295 Old Harding Hwy, Mays Landing, NJ 08330-1558 | 2006-06-06 |
| 1104438431 | Michael L Fernandez | Rehabilitation Practitioner | 2243 N Mountain Ave, Claremont, CA 91711-1586 | 2020-08-18 |
| 1154930493 | Michael Josue Fernandez | Counselor | 11105 Ne 14th St Ste 103, Vancouver, WA 98684-4309 | 2020-07-22 |
| 1750921649 | Michael A Fernandez | Physical Therapist | 134 Homer Ave, Cortland, NY 13045-1206 | 2020-01-09 |
| 1154788065 | Michael Wayne Fernandez | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2016-01-22 |
| 1992995401 | Michael A. Fernandez | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-31 |
| 1891917092 | Michael Fernandez | Orthopaedic Surgery | 3399 Trindle Road, Camp Hill, PA 17011 | 2007-05-03 |
| Street Address |
148 LORETA ST STE B |
| City | DEDEDO |
| State | GU |
| Zip Code | 96929-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1669832846 | Christopher Medina | Optometrist | Concourse 4 Micronesia Mall, Ideal Optical, Dededo, GU 96929 | 2016-03-01 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| Find all providers in zip 96929 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821203779 | Ben Malabanan Jr. | Dentist | 2011 Route 16, Manhattan Plaza Building, Suite 201-202, Dededo, GU 96929 | 2007-05-14 |
| 1659412930 | C V Alegria Dds Inc | Dentist | 505 Harmon Loop Road, Suite 300, Dededo, GU 96929 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570652 | Jeffrey C. Johnson | Dentist | 250 Route 4 Ste 101, Hagatna, GU 96910-7110 | 2019-07-23 |
| 1659885523 | Bsjc, LLC | Dentist | 692 N Marine Corps Dr Ste 301, Tamuning, GU 96913-4454 | 2017-11-29 |
| 1255874285 | Janice Malilay | Dentist | 194 Chalan San Antonio, Suite 201, Tamuning, GU 96913-3508 | 2016-11-22 |
| 1437553922 | Hugh Sule | Dentist | 278 S Marine Corps Dr, Hengi Plaza Suite #102, Tamuning, GU 96913-3935 | 2014-10-13 |
| 1184990905 | Joon Ha | Dentist | 1 3 Route 10 #353, Lot No. 2320-new-2, Mangilao, GU 96923 | 2012-03-26 |
| 1255561320 | Kenneth Wayne Bourgeois | Dentist | 226 Chalan San Antonio Ste C, Tamuning, GU 96913-3525 | 2009-07-22 |
| 1598903023 | Stanley York Yasuhiro | Dentist | 667 North Marine Drive, Pacifica Plaza Bldg., Ste. 204, Tamuning, GU 96913 | 2009-01-21 |
| 1053556548 | Antonio M. Rapadas | Dentist | 159 Judge Sabian Street, Ordot, GU 96910 | 2008-12-11 |
| 1225050529 | Timothy P. Brady | Dentist | 140 Punzalan St, C/o Guam Dental Arts, Tamuning, GU 96913-3441 | 2006-07-24 |
| 1457764417 | Sarah Lee Clegg | Dentist | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2014-06-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.