DR. SARAH LEE CLEGG (NPI# 1457764417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457764417 |
| Entity Type | Individual |
| Full Name | DR. SARAH LEE CLEGG |
| Credential | D.D.S |
| Practice Address |
548 S Marine Corps Dr Tamuning GU 96913-3539 |
| Mailing Address |
Po Box 9868 Tamuning GU 96931-5868 |
| Practice Telephone | 6716465825 |
| Mailing Telephone | 5102833460 |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
0134 | MP | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
63621 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D1027 | GU | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
29923 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1580 Mann Dr, Pinole, CA 945642523 | 5107245330 | |
| 692 N Marine Corps Dr, Tamuning, GU 969134454 | 6713003221 |
| Street Address |
548 S MARINE CORPS DR |
| City | TAMUNING |
| State | GU |
| Zip Code | 96913-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447280680 | Angelito G Santos | Emergency Medicine | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2006-07-04 |
| 1932718665 | Ave Ocampo Golez | Registered Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-07-29 |
| 1336779784 | Ariel Sumbo | Registered Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-23 |
| 1487284915 | Gerren Christopher Gabriel | Licensed Practical Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-23 |
| 1275163883 | Gemma Paguio | Registered Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-23 |
| 1124658711 | Temple Grace Sarzaba Decena | Licensed Practical Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-22 |
| 1073143665 | Celeste Ulanday Punzalan-almira | Registered Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-22 |
| 1508496118 | Marilyn Zamora Magbitang | Licensed Practical Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-22 |
| 1376173989 | Allen Paule Rara | Physical Therapist | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-22 |
| 1023648896 | Norhea Cando | Registered Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
| 1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
| 1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
| 1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
| 1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
| 1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
| 1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
| 1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
| Find all providers in zip 96913 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1225050529 | Timothy P. Brady | Dentist | 140 Punzalan St, C/o Guam Dental Arts, Tamuning, GU 96913-3441 | 2006-07-24 |
| 1821329285 | Tom Serafica Veloria | Dentist | 415 Chalan San Antonio, Suite 303, Tamuning, GU 96913-3620 | 2010-01-26 |
| 1013161074 | Nerissa B. Silos | Dentist | #138 Ypao Road, Polyclinic Building, Tamuning, GU 96913 | 2008-11-04 |
| 1053560565 | Jonathan Visscher | Dentist | 388 Ypao Rd, Tamuning, GU 96913-3701 | 2008-09-09 |
| 1801915673 | Wayne Ward | Dentist | 388 Ypao Rd, Tamuning, GU 96913-3701 | 2007-03-29 |
| Find all providers in TAMUNING | ||||
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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.