DR. AMSALE DERESE (NPI# 1518443324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518443324 |
| Entity Type | Individual |
| Full Name | DR. AMSALE DERESE |
| Credential | DDS |
| Practice Address |
1115 Us Highway 259 S Henderson TX 75654-3629 |
| Practice Telephone | 9033928251 |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2018-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 34286 | TX | Dental Providers |
| Street Address |
1115 US HIGHWAY 259 S |
| City | HENDERSON |
| State | TX |
| Zip Code | 75654-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295920957 | Robert Joseph Griffith | Nurse Practitioner | 1115 Us Highway 259 S, Henderson, TX 75654-3629 | 2007-09-06 |
| 1861905523 | Brenda S Fountain | Nurse Practitioner | 1115 Us Highway 259 S, Henderson, TX 75654 | 2017-11-15 |
| 1891046801 | Brooke Suzan Martin | Nurse Practitioner | 1115 Us Highway 259 S, Henderson, TX 75654-3629 | 2012-10-01 |
| 1851611503 | Judith Denise Sutherland | Social Worker | 1115 Us Highway 259 S, Henderson, TX 75654-3629 | 2010-06-04 |
| 1407045735 | Sharavana Kumar Gajapathi | Dentist | 1115 Us Highway 259 S, Henderson, TX 75654-3629 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657689 | Danielle Villanueva | Lactation Consultant, Non-RN | 502 Smith Street, Henderson, TX 75654 | 2020-04-06 |
| 1194374488 | Peggie Foreman | Technician | 6984 7.m. 13 W, Henderson, TX 75654 | 2019-09-09 |
| 1174086714 | Kc Creek Equestrian, LLC | Psychologist | 9906 Cr 468 W, Henderson, TX 75654 | 2019-04-10 |
| 1639529753 | J.l. Miguez, Inc. | Hearing Aid Equipment | 522 Us Hwy 79 South, Suite B, Henderson, TX 75654 | 2016-06-20 |
| 1073940227 | Amberly Hopson | Nurse Practitioner | 1115 U.S. 259, Henderson, TX 75654 | 2013-10-02 |
| 1790002632 | Chris Cummings | Marriage & Family Therapist | 1048 County Road 306d, Henderson, TX 75654 | 2010-05-03 |
| 1649412354 | Mt. Enterprise Community Health Clinic | Clinic/Center | 1115 Highway 259 South, Henderson, TX 75654 | 2009-03-26 |
| 1861678146 | Crystal Cloutier | Occupational Therapy Assistant | 2009 Price St, Henderson, TX 75654 | 2008-01-16 |
| 1477739225 | Wcg Henderson Home Health Care Supply LLC | Durable Medical Equipment & Medical Supplies | 702 Fair Park Dr., Suite 103, Henderson, TX 75654 | 2008-01-10 |
| 1316127806 | Advancing At Home Health Care LLC | Home Health | 702 Fair Park Dr, Suite 101, Henderson, TX 75654 | 2007-11-13 |
| Find all providers in zip 75654 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227383 | Steven Hadawar | Dentist | 3519 Saint Rose Pkwy Ste 110, Henderson, NV 89052-4598 | 2020-08-26 |
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1508411232 | Luz Gizelle Jaramillo-lyoubi | Dentist | 1351 W Sunset Rd Ste 100, Henderson, NV 89014-8608 | 2019-08-08 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1588139026 | Roseman University of Health Sciences, A Nevada Non-profit Corp | Dentist | 4 Sunset Way Ste B, Henderson, NV 89014-2015 | 2018-10-11 |
| 1114408820 | Matthew Pineda Manas | Dentist | 2790 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-3997 | 2018-08-22 |
| 1285111617 | Jack Nguyen, Dds, Pllc | Dentist | 2654 W Horizon Ridge Pkwy Ste B5-346, Henderson, NV 89052-2803 | 2018-07-27 |
| 1427575307 | Griffin Davis Park | Dentist | 366 W. Lake Mead Pkwy, St. 100, Henderson, NV 89105 | 2017-08-23 |
| 1013460872 | Robert Blackburn Jr. | Dentist | 211 Burning Tree Dr, Henderson, NC 27537-9607 | 2016-07-28 |
| 1407212624 | Toothfairy Children's Dental | Dentist | 10925 S Eastern Ave Ste 130, Henderson, NV 89052-5214 | 2016-01-04 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on DR. AMSALE DERESE.
| 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.